Individual provider Active NPI

Jamie Heather Meadows, PH.D.

  • Clinical Psychologist
  • Columbia, MO
National Provider Identifier
1699750562
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2004024851 Issued in MO
Practice address
29 S 9TH St Ste 208
Columbia, MO 65201-4884
Phone
(914) 343-0604
Fax
(888) 690-5301
NPI assigned
Dec 13, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2004024851 MO Primary

Addresses

Primary practice location

29 S 9TH St Ste 208
Columbia, MO 65201-4884

Mailing address

29 S 9TH St Ste 208
Columbia, MO 65201-4884
Phone (914) 343-0604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 1, 2016 through Nov 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2004024851MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Hub LLC PastSince Oct 30, 2024 Accepting new patients
Counseling and Psychological Services LLC PastSince Jul 1, 1999 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1699750562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S 9TH ST STE 208",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014884",
            "telephone_number": "914-343-0604",
            "fax_number": "888-690-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S 9TH ST STE 208",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014884",
            "telephone_number": "914-343-0604",
            "fax_number": "888-690-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "JAMIE",
        "middle_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2004024851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.