Individual provider Active NPI

Jenine Renee Dunmyer, M.A.

  • Mental Health Counselor
  • Carson City, NV
National Provider Identifier
1538524426
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MI1127 Issued in NV
Practice address
755 N Roop St Ste 101
Carson City, NV 89701-3107
Phone
(605) 077-5841
Fax
(775) 841-6053
NPI assigned
Dec 21, 2015
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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 MI1127 NV Primary

Addresses

Primary practice location

755 N Roop St Ste 101
Carson City, NV 89701-3107

Mailing address

2439 Eastwood Dr
Carson City, NV 89701-5879
Phone (169) 517-2800

Other practice location 1

301 S State St
Ukiah, CA 95482-4906
Phone (707) 462-3041

Other practice location 2

2831 Saint Rose Pkwy Ste 222
Henderson, NV 89052-4840
Phone (702) 589-4871

Other names 1

  • Mrs. Jenine Renee Dunmyer Professional name

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MI1127NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Multipurpose Senior Services Program Past Accepting new patients
Behavioral Health Solutions LLC Mental Health Past Accepting new patients
Community Care Management Corp Past Accepting new patients

Organizations & group practices 3

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": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1538524426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 EASTWOOD DR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015879",
            "telephone_number": "169-517-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N ROOP ST STE 101",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897013107",
            "telephone_number": "605-077-5841",
            "fax_number": "775-841-6053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S State St",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954824906",
            "country_code": "US",
            "telephone_number": "707-462-3041",
            "fax_number": "707-468-5234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2831 Saint Rose Pkwy Ste 222",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524840",
            "country_code": "US",
            "telephone_number": "702-589-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNMYER",
        "first_name": "JENINE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "MI1127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENINE",
            "last_name": "DUNMYER",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.