Individual provider Active NPI

Meghan M. Tobin, M.A.

  • Mental Health Counselor
  • Erieville, NY
National Provider Identifier
1497134076
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P92980 Issued in NY
Practice address
3455 Erieville Rd
Erieville, NY 13061-3176
Phone
(203) 530-7722
NPI assigned
May 28, 2015
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P92980 NY Primary

Addresses

Primary practice location

3455 Erieville Rd
Erieville, NY 13061-3176

Mailing address

3455 Erieville Rd
Erieville, NY 13061-3176
Phone (203) 530-7722

Other identifiers 1

IdentifierTypeStateIssuer
006764OtherNYSTATE PROFESSIONAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2024 through Feb 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
P92980NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meghan M. Tobin, Licensed Mental Health Counselor, PC Mental Health CurrentSince Mar 28, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1497134076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 ERIEVILLE RD",
            "city": "ERIEVILLE",
            "state": "NY",
            "postal_code": "130613176",
            "telephone_number": "203-530-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 ERIEVILLE RD",
            "city": "ERIEVILLE",
            "state": "NY",
            "postal_code": "130613176",
            "telephone_number": "203-530-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "MEGHAN",
        "middle_name": "M.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P92980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROFESSIONAL LICENSE",
            "identifier": "006764",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erieville, NY

Sources for this page

Verify at the official NPI Registry.