Jill Kathleen Merrill, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60716741 Issued in WA

Practice address

1309 Bendigo Blvd N
North Bend, WA 98045-8945

Phone

(425) 209-8216

NPI assigned

Oct 11, 2020

Sex

Female

Sole proprietor

No

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 WA

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

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James Morley Professional ServiceGroup PAC ID 6608380175, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• James Morley Professional Service

  • Mental Health Counselor
  • North Bend, WA
  • NPI 1467953729
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1093313280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 BENDIGO BLVD N",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458945",
            "telephone_number": "425-209-8216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 BENDIGO BLVD N",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458945",
            "telephone_number": "425-209-8216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "JILL",
        "middle_name": "KATHLEEN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60716741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE",
            "identifier": "LH60716741",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele L. McRae, RN
• Christa Louise McVicker, LMP
• Jean Marie Medina, CPC
• Ramya Meenakshi Sundaram
• Leigh Allison Meier, PHARMD
• Middles Holdings LLC
• Scott Alan Mihulka, PHARM D.
• Timmber Lynn Miles, LICSW
• Matthew David Miller, D.C.
• Pamela Miller, LMP

• Mental Health Counselor in North Bend, WA
• Providers in North Bend, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; 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.