Active NPI
Jackie Renee' Merritt, LCSW
- Mental Health Counselor
- Helena, MT
National Provider Identifier
1386823235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 144 Fairway Dr
Helena, MT 59601-0119 - Phone
- (406) 443-2343
- NPI assigned
- Oct 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | MT | Primary | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1236LAC | MT |
Addresses
Primary practice location
144 Fairway Dr
Helena, MT 59601-0119
Mailing address
144 Fairway Dr
Helena, MT 59601-0119
Phone (406) 443-2343
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1236LAC | MT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253232000000",
"number": "1386823235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 FAIRWAY DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596010119",
"telephone_number": "406-443-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 FAIRWAY DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596010119",
"telephone_number": "406-443-2343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "JACKIE",
"middle_name": "RENEE'",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2009-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MT",
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MT",
"license": "1236LAC",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.