Individual provider Active NPI

Jennifer Elizabeth Lola Swanson

  • Mental Health Counselor
  • Oswego, NY
National Provider Identifier
1558099051
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
157 E 1St St Ste 7
Oswego, NY 13126-2656
Phone
(315) 529-5607
NPI assigned
Aug 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

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

Addresses

Primary practice location

157 E 1St St Ste 7
Oswego, NY 13126-2656

Mailing address

157 E 1St St Ste 7
Oswego, NY 13126-2656
Phone (315) 529-5607

Other practice location 1

157 E 1st St
Oswego, NY 13126-2779
Phone (315) 529-5607

Other practice location 2

157 E 1st St Ste 7
Oswego, NY 13126-2656
Phone (315) 529-5607

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

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1558099051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E 1ST ST STE 7",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262656",
            "telephone_number": "315-529-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E 1ST ST STE 7",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262656",
            "telephone_number": "315-529-5607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131262779",
            "country_code": "US",
            "telephone_number": "315-529-5607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 E 1st St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131262656",
            "country_code": "US",
            "telephone_number": "315-529-5607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH LOLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.