Jennifer T Michiel, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005744 Issued in NY

Practice address

25 Weichers St
Lake Ronkonkoma, NY 11779-3325

Phone

(631) 848-7137

NPI assigned

Oct 1, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Seafield Services

  • Case Management Agency
  • Patchogue, NY
  • NPI 1922498849
  NPD (past)

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1194152579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WEICHERS ST",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117793325",
            "telephone_number": "631-848-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WEICHERS ST",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117793325",
            "telephone_number": "631-848-7137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 E Main St",
            "address_2": "1st Floor, Suite 101",
            "address_purpose": "LOCATION",
            "city": "Patchogue",
            "state": "NY",
            "postal_code": "117723121",
            "country_code": "US",
            "telephone_number": "631-363-2001",
            "fax_number": "631-687-5834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHIEL",
        "first_name": "JENNIFER",
        "middle_name": "T",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farrah L Merendina, RPH
• Kimberly Messina, P.T.
• Mariam Millian Meyers, PHARM.D
• Michael Creta, DO
• Jessica Michels
• Jordan Michiel, PA-C, MPAS
• Veronica Miessmer
• Misti Lee Millar-Calderon, D.C.
• Otto Nicholas Minerva, R.PH.
• Paula C Miraldi I

• Mental Health Counselor in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.