Active NPI
Dawn Jeter, BEHAVIOR SPECIALIST
- Counselor
- York, PA
National Provider Identifier
1407268303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 103K00000X
- Practice address
- 1195 Roosevelt Ave
York, PA 17404-2350 - Phone
- (717) 843-0800
- NPI assigned
- May 27, 2014
- Last updated
- May 27, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 103K00000X | PA | Primary |
Addresses
Primary practice location
1195 Roosevelt Ave
York, PA 17404-2350
Mailing address
6658 Fair School Rd
Glen Rock, PA 17327-7848
Phone (717) 235-2827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BH000383 | Other | PA | BUREAU OF PROFESSINAL AND OCCUPATIONAL AFFAIRS |
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 |
|---|---|---|---|
| 103K00000X | PA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1407268303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6658 FAIR SCHOOL RD",
"city": "GLEN ROCK",
"state": "PA",
"postal_code": "173277848",
"telephone_number": "717-235-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1195 ROOSEVELT AVE",
"city": "YORK",
"state": "PA",
"postal_code": "174042350",
"telephone_number": "717-843-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETER",
"first_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "BEHAVIOR SPECIALIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "103K00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUREAU OF PROFESSINAL AND OCCUPATIONAL AFFAIRS",
"identifier": "BH000383",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.