| Jasper Therapy Group LLC | |
|
10616 S Jacob Smart Blvd Ste 103 Ridgeland SC 29936-8478 | |
| (843) 310-1743 | |
| Not Available |
| Full Name | Jasper Therapy Group LLC |
|---|---|
| Speciality | Counselor |
| Location | 10616 S Jacob Smart Blvd Ste 103, Ridgeland, South Carolina |
| Authorized Official Name and Position | Kati Pitre (OWNER) |
| Authorized Official Contact | 8434228879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper Therapy Group LLC 10616 S Jacob Smart Blvd Ste 103 Ridgeland SC 29936-8478 | Jasper Therapy Group LLC 10616 S Jacob Smart Blvd Ste 103 Ridgeland SC 29936-8478 Ph: (843) 310-1743 |
| NPI Number | 1285588780 |
|---|---|
| Provider Enumeration Date | 02/23/2026 |
| Last Update Date | 02/23/2026 |
| Certification Date | 02/23/2026 |
| Medicare PECOS PAC ID | 7810463197 |
|---|---|
| Medicare Enrollment ID | O20260415000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285588780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Kati Joanna Pitre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346102472 PECOS PAC ID: 3274009568 Enrollment ID: I20260415000516 |
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