Active NPI
Wendy Marie Mercer, LMHC
- Mental Health Counselor
- West Sayville, NY
National Provider Identifier
1194022475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004687-1
- Practice address
- 105 Bucknell Rd
West Sayville, NY 11796-1004 - Phone
- (631) 872-5451
- NPI assigned
- Feb 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004687-1 | NY | Primary |
Addresses
Primary practice location
105 Bucknell Rd
West Sayville, NY 11796-1004
Mailing address
105 Bucknell Rd
West Sayville, NY 11796-1004
Phone (631) 872-5451
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004687-1 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1194022475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BUCKNELL RD",
"city": "WEST SAYVILLE",
"state": "NY",
"postal_code": "117961004",
"telephone_number": "631-872-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BUCKNELL RD",
"city": "WEST SAYVILLE",
"state": "NY",
"postal_code": "117961004",
"telephone_number": "631-872-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "WENDY",
"middle_name": "MARIE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-22",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004687-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.