Active NPI
Megan C Mertens, QMHS
- Mental Health Counselor
- Dayton, OH
National Provider Identifier
1407406531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- UN849802
- Practice address
- 1 Elizabeth PL
Dayton, OH 45417-3445 - Phone
- (937) 952-6811
- Fax
- (567) 316-7232
- NPI assigned
- Sep 20, 2019
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | UN849802 | OH | Primary |
Addresses
Primary practice location
1 Elizabeth PL
Dayton, OH 45417-3445
Mailing address
3170 W Central Ave
Toledo, OH 43606-2945
Phone (419) 214-5587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| UN849802 | Medicaid | OH |
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 |
|---|---|---|---|
| UN849802 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1407406531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436062945",
"telephone_number": "419-214-5587",
"fax_number": "567-316-7232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ELIZABETH PL",
"city": "DAYTON",
"state": "OH",
"postal_code": "454173445",
"telephone_number": "937-952-6811",
"fax_number": "567-316-7232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTENS",
"first_name": "MEGAN",
"middle_name": "C",
"name_prefix": "Miss",
"credential": "QMHS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-20",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "UN849802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "UN849802",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.