Individual
MRS. JESSICA HART BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LCPAT, ATR-BC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
LC6290
MD
101YP2500X
Professional Counselor
LGP5307
MD
221700000X
Art Therapist
ATC139
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147-000
MAGELLAN BEHAVIORAL HEALTH
MD
01
—
346646
TRICARE
MD
05
—
520202701
—
MD
01
—
522156095
HEALTHSMART
MD
05
—
609500300
—
MD
05
—
609550002
—
MD
01
—
7840093
MHNET
MD
01
—
LM49EA
BCBS LOCAL
MD
01
—
R968
BCBS-BLUES
MD
Enumeration date
09/25/2012
Last updated
04/23/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up