Active NPI
Jennifer Irene Myers, LMFT 97263; 01450 NV
- Marriage & Family Therapist
- Carson City, NV
National Provider Identifier
1558607382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 01450
- Practice address
- 2874 N Carson St Ste 215
Carson City, NV 89706-1682 - Phone
- (775) 885-7717
- Fax
- (775) 283-0231
- NPI assigned
- Dec 26, 2012
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 97263 | CA | |
| Marriage & Family Therapist | 106H00000X | 01450 | NV | Primary |
Addresses
Primary practice location
2874 N Carson St Ste 215
Carson City, NV 89706-1682
Mailing address
PO Box 208
Carson City, NV 89702-0208
Phone (775) 885-7717
Other practice location 1
209 6th Street
Marysville, CA 95961
Phone (530) 741-6275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558607382 | Medicaid | NV |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 01450 | NV | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Counseling & Neurotherapy, LLC | Marriage & Family Therapist | Past | Accepting new patients |
| Marvin Behavioral Health Ma PC | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Sierra Counseling & Neurotherapy
- Marriage & Family Therapist
- Carson City, NV
- NPI 1336204114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1558607382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897020208",
"telephone_number": "775-885-7717",
"fax_number": "775-283-0231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2874 N CARSON ST STE 215",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897061682",
"telephone_number": "775-885-7717",
"fax_number": "775-283-0231"
}
],
"practiceLocations": [
{
"address_1": "209 6th Street",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "CA",
"postal_code": "95961",
"country_code": "US",
"telephone_number": "530-741-6275",
"fax_number": "530-749-7913",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "JENNIFER",
"middle_name": "IRENE",
"name_prefix": "Ms.",
"credential": "LMFT 97263; 01450 NV",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "97263",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "01450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558607382",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.