Active NPI
James R Meadows, PH.D.
- Mental Health Counselor
- Selinsgrove, PA
National Provider Identifier
1326104217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2600
- Practice address
- 1372 N Susquehanna TRL
Suite 330
Selinsgrove, PA 17870-8971 - Phone
- (570) 394-6656
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 2600 | NE | Primary |
Addresses
Primary practice location
1372 N Susquehanna TRL
Suite 330
Selinsgrove, PA 17870-8971
Mailing address
1372 N Susquehanna TRL
Suite 330
Selinsgrove, PA 17870-8971
Phone (570) 394-6656
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202584413 | Other | NE | AETNA |
| 10025268300 | Medicaid | NE | |
| 85316 | Other | NE | BCBS |
| 241063 | Other | NE | MIDLANDS CHOICE |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2600 | NE | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1326104217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1372 N SUSQUEHANNA TRL",
"address_2": "SUITE 330",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178708971",
"telephone_number": "570-394-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1372 N SUSQUEHANNA TRL",
"address_2": "SUITE 330",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178708971",
"telephone_number": "570-394-6656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEADOWS",
"first_name": "JAMES",
"middle_name": "R",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "2600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "202584413",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025268300",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "85316",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "241063",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Selinsgrove, PA
- Luxottica Retail North America Inc (Sears Optical #C0084)
- Carli Marshall
- Dayna Rose McCarty, PHARMD
- Matthew James McClure, DO
- James Paul McCormick, R.PH.
- Tawnya Meadows, PHD
- Med Plus
- Medexpress Urgent Care, PC - Pennsylvania (MedExpress Urgent Care - Selinsgrove)
- Ann Marie Metzger General, CRNP
- Lisa Marie Meyers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.