JERALYN RENEE THARP (LPCC-S LICDC) – Professional Counselor, NPI 1073848750
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,018 MENTAL HEALTH COUNSELOR in FL
Provider Addresses for JERALYN RENEE THARP (LPCC-S LICDC)
8139 OLD TROY PIKE # 1031
HUBER HEIGHTS, OH 454241067
Phone: (937) 712-5893
Fax: (937) 962-6210
Type: Mailing
5568 Woodbine Rd # 1027
Pace, FL 325718766
Phone: (937) 712-5893
Fax: (937) 712-5893
Type: Location
2000 Park St # 1597
Columbia, SC 292012011
Phone: (937) 712-5893
Fax: (937) 962-6210
Type: Location
11806 Bruce B Downs Blvd # 1100
Tampa, FL 336125542
Phone: (937) 712-5893
Fax: (937) 712-5893
Type: Location
2186 Jackson Keller Rd Ste 2223
San Antonio, TX 782132723
Phone: (937) 712-5893
Fax: (937) 712-5893
Type: Location
National Road, Vandalia, Montgomery County, Ohio, United States
VANDALIA, OH 453771963
Phone: (937) 314-1659
Fax: (937) 424-8767
Type: Mailing
609 WOODSIDE DR STE A
ENGLEWOOD, OH 453221848
Phone: (937) 540-9495
Fax: (937) 962-6210
Type: Mailing
609 WOODSIDE DR
ENGLEWOOD, OH 453221848
Phone: (937) 540-9495
Fax: (937) 962-6210
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250910004833 | I | Mental Health Counselor | FL | TBD |
| I20250915001894 | I | Mental Health Counselor | OH | TBD |
| I20250916000379 | I | Mental Health Counselor | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45424)
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