Individual provider Active NPI

Jill Farrell Bieber, LMHC

  • Mental Health Counselor
  • Chestnut Ridge, NY
National Provider Identifier
1538565809
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006230-1 Issued in NY
Practice address
817 Chestnut Ridge Rd
Chestnut Ridge, NY 10977-6314
Phone
(845) 263-7290
NPI assigned
Nov 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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 006230-1 NY Primary

Addresses

Primary practice location

817 Chestnut Ridge Rd
Chestnut Ridge, NY 10977-6314

Mailing address

24 Haller Cres
Chestnut Ridge, NY 10977-6605
Phone (845) 425-2388

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
006230-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1538565809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HALLER CRES",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776605",
            "telephone_number": "845-425-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 CHESTNUT RIDGE RD",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776314",
            "telephone_number": "845-263-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEBER",
        "first_name": "JILL",
        "middle_name": "FARRELL",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006230-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.