Jeffery T Mercer, MA

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

KY-0549 Issued in KY

Practice address

11003 Perwinkle LN
Louisville, KY 40291-4104

Phone

(502) 618-2620

NPI assigned

Nov 11, 2010

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aptiva HealthGroup PAC ID 0547595316, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aptiva Health

  dba Aptiva Health LLC

  • Orthopaedic Surgery Physician
  • Louisville, KY
  • NPI 1669967881
  Medicare reassignment Care Compare group NPD
• Aptiva Health

  dba Aptiva Health LLC

  • Durable Medical Equipment & Medical Supplies
  • Elizabethtown, KY
  • NPI 1326877952
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1003117722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 PERWINKLE LANE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914104",
            "telephone_number": "502-618-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 PERWINKLE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914104",
            "telephone_number": "502-618-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCER",
        "first_name": "JEFFERY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "KY",
            "license": "KY-0549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY-0549",
            "identifier": "KY-0549",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nandini Menon, M.D.
• Katelyn Mensing, LCSW
• Mental Health and Canine Therapy (Empowered Healing)
• Preston Meranda
• Sergio Mercado, DPT
• Sara Gail Mercer
• Tyler D Mercer
• Rebecca Hurley Mercke, DMD
• Alison Mercola
• Allison Rose Mercurio, COTA/L

• Cognitive & Behavioral Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Cognitive & Behavioral Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.