Jason Shear, LMHC-P

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P92234 Issued in NY

Practice address

42 Lake St Ste D
Hamburg, NY 14075-4937

Phone

(716) 410-0164

NPI assigned

Dec 28, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southtowns Mental Health Counseling PC

  • Mental Health Counselor
  • Hamburg, NY
  • NPI 1306411244

  Mental Health, NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1386189496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 LAKE ST STE D",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754937",
            "telephone_number": "716-410-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 LAKE ST STE D",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754937",
            "telephone_number": "716-410-0164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "987 R C Hoag Dr",
            "address_purpose": "LOCATION",
            "city": "Salamanca",
            "state": "NY",
            "postal_code": "147791365",
            "country_code": "US",
            "telephone_number": "716-945-9001 x3266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2656 W State St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147601871",
            "country_code": "US",
            "telephone_number": "716-372-7778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEAR",
        "first_name": "JASON",
        "credential": "LMHC-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-28",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P92234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Elizabeth Sega, M.S.
• Daniel J Serafini, RPH
• Sarah Shafer, MS CCC-SLP NYS LIC.
• Karam C Sharma, D.M&S.P
• Katy Marie Shaul, MS
• Natalie Sherry
• Holly Ann Silverthorn, LMHC, LPC
• Rachel Simson, MS, RD, LD
• Sandra L Sion, LDO
• Andrew Sipowicz, DPT

• All providers in Hamburg, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.