JENNIFER DEBASTIANI
NPI 1639615388
Counselor - Mental Health in Jacksonville, NC

Active since January 18, 2017
102 ELIZABETH ST, SUITE C, JACKSONVILLE, NC 28540(910) 333-0814 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Debastiani NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER DEBASTIANI (NPI 1639615388) is an individual mental health provider in Jacksonville, North Carolina and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1639615388
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER DEBASTIANI
Location Address102 ELIZABETH ST, SUITE CJacksonville, NC 28540-5676
Mailing Address102 Elizabeth St, Suite CJacksonville, NC 28540-5676 · (910) 333-0814
Sole ProprietorNo
Enumeration DateJanuary 18, 2017
NPI 1639615388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
102 ELIZABETH ST, Jacksonville, NC 28540

Other Identifiers 1

Medicaid110026265EMA

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
102 ELIZABETH ST, SUITE C
JACKSONVILLE, NC 28540
Counselor (Mental Health)
102 ELIZABETH ST, SUITE C
JACKSONVILLE, NC 28540
Behavior Analyst
102 ELIZABETH ST, SUITE C
JACKSONVILLE, NC 28540
Counselor (Mental Health)
102 ELIZABETH ST, SUITE C
JACKSONVILLE, NC 28540
Counselor (Mental Health)
102 ELIZABETH ST, SUITE C
JACKSONVILLE, NC 28540
Counselor (Mental Health)
102 ELIZABETH ST, SUITE C
JACKSONVILLE, NC 28540
Counselor (Mental Health)
102 ELIZABETH ST, SUITE C
JACKSONVILLE, NC 28540
Counselor (Mental Health)
102 ELIZABETH ST, SUITE C
JACKSONVILLE, NC 28540

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Debastiani's NPI number?

The NPI number for Jennifer Debastiani is 1639615388. It was assigned to this individual provider in the NPPES registry on January 18, 2017.

Where is Jennifer Debastiani located?

Jennifer Debastiani practices at 102 Elizabeth St Suite C, Jacksonville, NC 28540. The listed phone number is (910) 333-0814.

What is Jennifer Debastiani's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jennifer Debastiani was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.