Jennifer Merth, MT-BC, NMT, DT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

JM53230998P Issued in IL

Practice address

816 S 1St St
Princeton, IL 61356-2404

Phone

(815) 875-5848

Fax

(815) 875-5848

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1457496267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613560102",
            "telephone_number": "815-875-5848",
            "fax_number": "815-875-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 S 1ST ST",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562404",
            "telephone_number": "815-875-5848",
            "fax_number": "815-875-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTH",
        "first_name": "JENNIFER",
        "credential": "MT-BC, NMT, DT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": null,
            "license": "01376",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "JM53230998P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "371343960",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Paul Martin, DC
• Angela McClain, MS, CNS, LDN
• Jon E McCutchan, OD
• Micah W McNeill, APRN, CNP
• Kristina L Menzel, LCPC
• Robert E Mestan, MD
• Midwest Health Operations LLC (Orchard View Rehabilitation & Health Care)
• Kayla Miller
• Kraig A Mitchell, C.R.N.A.
• Jason A Monroe, DDS

• Developmental Therapist in Princeton, IL
• Providers in Princeton, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.