Individual provider Active NPI

Jerica Jalane Barber, LMHC, RN

  • Mental Health Counselor
  • Williamsville, NY
National Provider Identifier
1063810075
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18 006357 Issued in NY
Practice address
300 International Dr
Suite 117
Williamsville, NY 14221-5781
Phone
(585) 343-1681
Fax
(208) 361-8666
NPI assigned
Dec 8, 2014
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 22 537485 NY
Addiction (Substance Use Disorder) Counselor 101YA0400X 18 006357 NY
Pastoral Counselor 101YP1600X 18 006357 NY
Registered Nurse 163W00000X 22 537485 NY
Administrator Registered Nurse 163WA2000X 22 537485 NY
Community Health Registered Nurse 163WC1500X 22 537485 NY
Continuing Education/Staff Development Registered Nurse 163WC1600X 22 537485 NY
General Practice Registered Nurse 163WG0000X 22 537485 NY
Home Health Registered Nurse 163WH0200X 22 537485 NY
Lactation Consultant (Registered Nurse) 163WL0100X 22 537485 NY
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 22 537485 NY
Mental Health Counselor 101YM0800X 18 006357 NY Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 22 537485 NY
Developmental Therapist 222Q00000X 18 006357 NY
Religious Nonmedical Practitioner 374K00000X 18 006357 NY

Addresses

Primary practice location

300 International Dr
Suite 117
Williamsville, NY 14221-5781

Mailing address

300 International Dr Ste 100
Williamsville, NY 14221-5783
Phone (716) 406-4246

Other names 1

  • Ms. Jerica Jalane Toney-Barber Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
22 537485NYMDAddiction (Substance Use Disorder) Registered Nurse
18 006357NYMDReligious Nonmedical Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Xesus House of Prayer, Inc. Addiction (Substance Use Disorder) Current Accepting new patients
Xesus Therapy Services Past Accepting new patients

Locations

300 International Dr
Ste 100
Williamsville, NY 14221
Phone (510) 387-1104

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1063810075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL DR STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215783",
            "telephone_number": "716-406-4246",
            "fax_number": "208-361-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL DR",
            "address_2": "SUITE 117",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215781",
            "telephone_number": "585-343-1681",
            "fax_number": "208-361-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "JERICA",
        "middle_name": "JALANE",
        "name_prefix": "Ms.",
        "credential": "LMHC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "22 537485",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "18 006357",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NY",
            "license": "18 006357",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22 537485",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "22 537485",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "22 537485",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "NY",
            "license": "22 537485",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "22 537485",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "22 537485",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NY",
            "license": "22 537485",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "22 537485",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18 006357",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "22 537485",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NY",
            "license": "18 006357",
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": "NY",
            "license": "18 006357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERICA",
            "last_name": "TONEY-BARBER",
            "middle_name": "JALANE",
            "prefix": "MS.",
            "credential": "LMHC, RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.