Provider Demographics
NPI:1134130362
Name:KASPER, JOANGELI ZERTUCHE (LPC-S)
Entity Type:Individual
Prefix:
First Name:JOANGELI
Middle Name:ZERTUCHE
Last Name:KASPER
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8370 US HIGHWAY 82 E
Mailing Address - Street 2:SUITE G
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2404
Mailing Address - Country:US
Mailing Address - Phone:903-421-3077
Mailing Address - Fax:888-848-8021
Practice Address - Street 1:8370 US. HWY 82
Practice Address - Street 2:SUITE G
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-5884
Practice Address - Country:US
Practice Address - Phone:903-421-3077
Practice Address - Fax:888-848-8021
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17819101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83590LOtherBCBS
TX11929211OtherCAQH
TX153185703Medicaid