Active NPI
Trevor J Meyer, LPC-IT
- Professional Counselor
- Friendship, WI
National Provider Identifier
1346759933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2956-226
- Practice address
- 108 E North St
Friendship, WI 53934-9443 - Phone
- (608) 339-4505
- NPI assigned
- Sep 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2956-226 | ||
| Professional Counselor | 101YP2500X | 2956-226 | Primary |
Addresses
Primary practice location
108 E North St
Friendship, WI 53934-9443
Mailing address
108 E North St
Friendship, WI 53934-9443
Phone (608) 339-4505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506384000000",
"number": "1346759933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E NORTH ST",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "539349443",
"telephone_number": "608-339-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E NORTH ST",
"city": "FRIENDSHIP",
"state": "WI",
"postal_code": "539349443",
"telephone_number": "608-339-4505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "TREVOR",
"middle_name": "J",
"credential": "LPC-IT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-26",
"last_updated": "2017-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "2956-226",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "2956-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Friendship, WI
- Luann M. Livingston, OTR
- Rayan M Lungba, M.B.B.S
- Carmen Jean Magee, SLP
- Emma Masiulewicz, DPT
- Sharon Lee Mendez, OTR
- Mile Bluff Clinic, LLP
- Mary H. Moll, PT
- Moundview Memorial Hospital & Clinics, Inc (Gundersen Moundview Hospital and Clinics, Inc.)
- Moundview Memorial Hospital & Clinics, Inc (Gundersen Moundview Hospital and Clinics, Inc.)
- Moundview Memorial Hospital & Clinics, Inc. (Gundersen Moundview Hospital and Clinics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.