Individual provider Active NPI

Jane Louise Meyers, LCSW-R

  • Mental Health Counselor
  • Binghamton, NY
National Provider Identifier
1609236470
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
084-489 Issued in NY
Practice address
1175 Vestal Ave
Binghamton, NY 13903-1609
Phone
(607) 444-5099
Fax
(307) 348-1730
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 084-489 NY Primary

Addresses

Primary practice location

1175 Vestal Ave
Binghamton, NY 13903-1609

Mailing address

76 The Circuit St
Binghamton, NY 13903-2329
Phone (607) 242-9630

Other practice location 1

1062 State Route 38
Owego, NY 13827-3209
Phone (607) 687-4000

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

State licenses

LicenseStateTypeSpecialty
084-489NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609236470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 THE CIRCUIT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139032329",
            "telephone_number": "607-242-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 VESTAL AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139031609",
            "telephone_number": "607-444-5099",
            "fax_number": "307-348-1730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1062 State Route 38",
            "address_purpose": "LOCATION",
            "city": "Owego",
            "state": "NY",
            "postal_code": "138273209",
            "country_code": "US",
            "telephone_number": "607-687-4000",
            "fax_number": "607-687-6396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "JANE",
        "middle_name": "LOUISE",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "084-489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

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.

Verify at the official NPI Registry.