Jeremy Chad Merritt, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007658 Issued in GA

Practice address

125 N Corners Pkwy
Cumming, GA 30040-2078

Phone

(678) 341-3840

NPI assigned

Mar 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Mindful Way Counseling

  • Professional Counselor
  • Cumming, GA
  • NPI 1568981686
  NPD

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1629494976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N CORNERS PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402078",
            "telephone_number": "678-341-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N CORNERS PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402078",
            "telephone_number": "678-341-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "JEREMY",
        "middle_name": "CHAD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-11",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Jovann Mendez, MA, BCBA
• Alejandro Andres Mendoza
• Karem Vivian Menezes, M.D.
• Rachel Menzoian
• Kori Alyssa Mepham, PT, DPT
• Olivia Grace Merritt, OTR/L
• Stephanie C Merritt, DPM
• Micah Mespelt
• Robert Lewis Messer, RRT
• Metro Imaging Cumming, LLC

• Professional Counselor in Cumming, GA
• Providers in Cumming, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.