Stephannie Jerman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1 Leo Moss Dr Ste 4308
Olean, NY 14760-1100

Phone

(716) 373-8040

Fax

(716) 701-3729

NPI assigned

Dec 21, 2022

Sex

Female

Sole proprietor

No

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• County of Cattaraugus

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Olean, NY
  • NPI 1659414696
  Medicare reassignment NPD
• County of Cattaraugus County Treasurer

  • Home Health Agency
  • Olean, NY
  • NPI 1336183805
  NPD

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1417669474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LEO MOSS DR STE 4308",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601100",
            "telephone_number": "716-373-8040",
            "fax_number": "716-701-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LEO MOSS DR STE 4308",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601100",
            "telephone_number": "716-373-8040",
            "fax_number": "716-701-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERMAN",
        "first_name": "STEPHANNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haneen Ismail
• J Horn LLC
• Grishma Jalemu
• William Michael Jaremko, M.D.
• Muhammed Tahir Javed, M.D.
• Karin E. Jochen, LPN
• Diane Johnson
• Michael Johnson
• Natalie Johnson
• Stacey Johnson

• Mental Health Counselor in Olean, NY
• Providers in Olean, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.