Individual provider Active NPI

Joan (None) Lovejoy, M.S.W.

  • Mental Health Counselor
  • Ithaca, NY
National Provider Identifier
1720112147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PRO14436 Issued in NY
Practice address
233 S Albany St
Ithaca, NY 14850-5403
Phone
(607) 273-0479
Fax
(607) 273-5978
NPI assigned
Mar 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PRO14436 NY Primary

Addresses

Primary practice location

233 S Albany St
Ithaca, NY 14850-5403

Mailing address

999 Cayuga Heights Rd
Ithaca, NY 14850-1044
Phone (607) 273-0065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210510000316 NY Practitioner - Clinical Social Worker 1759697873 Practice locations: Ithaca, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

999 Cayuga Heights Rd
Ithaca, NY 14850-1044
Phone (607) 351-7492

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRO14436NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720112147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 CAYUGA HEIGHTS RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501044",
            "telephone_number": "607-273-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S ALBANY ST",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505403",
            "telephone_number": "607-273-0479",
            "fax_number": "607-273-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEJOY",
        "first_name": "JOAN",
        "middle_name": "(NONE)",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "PRO14436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.