Meredith Leigh Threatt, M.S.ED, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1000524 Issued in OH

Practice address

5450 Far Hills Ave
Suite 222
Kettering, OH 45429-2386

Phone

(937) 999-9677

Fax

(919) 573-9447

NPI assigned

Sep 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1184905010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 PATSIE DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346032",
            "telephone_number": "937-999-9677",
            "fax_number": "919-573-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 FAR HILLS AVE",
            "address_2": "SUITE 222",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292386",
            "telephone_number": "937-999-9677",
            "fax_number": "919-573-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THREATT",
        "first_name": "MEREDITH",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "M.S.ED, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1000524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjory Thompson, PCC-S
• Nicole Thompson
• Tiffany Thompson
• Gerald Paul Thornberry Jr., PA-C
• John Edward Thorp, RN
• J Michael Thuney, MD
• David L Tibbits, M.D.
• Douglas Tidwell, CCP
• Elizabeth Ann Timanus, PHARMD
• Emma Ruth Timberlake

• Mental Health Counselor in Kettering, OH
• Providers in Kettering, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.