Jessica Aron Souza
NPI 1710762935ActiveIndividual· Counselor, Mental Health· Durham, NC
Counselor, Mental Health with Mona R Gupta DO Incorporated, practicing in Durham, North Carolina. Enrolled in Medicare as practitioner - other (physician).
Overview
| NPI | 1710762935 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Aug 28, 2023 |
| Last updated in NPPES | Aug 28, 2023 |
| Certified by provider | Aug 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Other (Physician) (NC) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Undefined Physician Type (Specify) |
Medical group
- Mona R Gupta DO IncorporatedRaleigh, NC · 24 clinicians
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