Individual provider Active NPI

Jamie Meece, CHAPLAIN, PSS

  • Addiction (Substance Use Disorder) Counselor
  • Pulaski, KY
National Provider Identifier
1407609928
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1202445 Issued in KY
Practice address
100 Depot Street
Pulaski, KY 42567
Phone
(606) 875-3719
Fax
(606) 280-9971
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1202445 KY Primary
Pastoral Counselor 101YP1600X NONE KY
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 25427 TN
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 0489 TN
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 1037263 KY

Addresses

Primary practice location

100 Depot Street
Pulaski, KY 42567

Mailing address

100 Depot Street
Pulaski, KY 42567
Phone (606) 875-3719

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

LicenseStateTypeSpecialty
1202445KYMDAddiction (Substance Use Disorder) Counselor
1037263KYMDEmergency Medical Services (Emergency Medicine) Physician
0489TNMDEmergency Medical Services (Emergency Medicine) Physician
25427TNMDFamily Medicine Physician
NONEKYMDClinical Pathology/Laboratory Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1407609928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEPOT STREET",
            "city": "PULASKI",
            "state": "KY",
            "postal_code": "42567",
            "telephone_number": "606-875-3719",
            "fax_number": "606-280-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DEPOT STREET",
            "city": "PULASKI",
            "state": "KY",
            "postal_code": "42567",
            "telephone_number": "606-875-3719",
            "fax_number": "606-280-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEECE",
        "first_name": "JAMIE",
        "name_prefix": "Mr.",
        "credential": "CHAPLAIN,  PSS",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1202445",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "KY",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TN",
            "license": "25427",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TN",
            "license": "0489",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "KY",
            "license": "1037263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.