Jessica Lynn Chiweteoke, LMHC-P

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P05410 Issued in NY

Practice address

20 Century Hill Dr Ste 202
Latham, NY 12110-2198

Phone

(518) 577-8822

NPI assigned

Mar 29, 2017

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1629500756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 NEAL DR",
            "city": "COLONIE",
            "state": "NY",
            "postal_code": "122053728",
            "telephone_number": "518-577-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CENTURY HILL DR STE 202",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102198",
            "telephone_number": "518-577-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2018 9th St",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121441423",
            "country_code": "US",
            "telephone_number": "518-577-8822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIWETEOKE",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LMHC-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P05410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Donald Chao, MD
• Jennifer Charlesworth, D.M.D.
• Debra J. Check, D.D.S.
• Erika Cheffolway
• Meghan Olenyk Chernosky, OTR/L
• Jang Choi, DMD
• Colleen B Choppy, OPTICIAN
• Ann Chu
• Yejong Chung, DC
• Stephanie Marie Church, M.S.

• Mental Health Counselor in Latham, NY
• Providers in Latham, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.