Individual provider Active NPI

Jeffrey Bare, MAMFT, LMFT

  • Specialist
  • Salunga, PA
National Provider Identifier
1316375355
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MF000723 Issued in PA
Practice address
101 W Main St Unit F1
Salunga, PA 17538-1109
Phone
(717) 875-6322
Fax
(717) 653-5217
NPI assigned
Oct 30, 2013
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

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

LicenseStateTypeSpecialty
MF000723PAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff Bare LLC Past Accepting new patients

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MF000723 PA Primary

Addresses

Primary practice location

101 W Main St Unit F1
Salunga, PA 17538-1109

Mailing address

101 W Main St Unit F1
Salunga, PA 17538-1109
Phone (717) 875-6322

NPI Registry JSON

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

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1316375355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST UNIT F1",
            "city": "SALUNGA",
            "state": "PA",
            "postal_code": "175381109",
            "telephone_number": "717-875-6322",
            "fax_number": "717-653-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST UNIT F1",
            "city": "SALUNGA",
            "state": "PA",
            "postal_code": "175381109",
            "telephone_number": "717-875-6322",
            "fax_number": "717-653-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARE",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "MAMFT, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-30",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MF000723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salunga, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.