Active NPI
Jeri Ann Heller, LCSW
- School Counselor
- Clifton Park, NY
National Provider Identifier
1730450693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- R028225-1
- Practice address
- 970 Route 146
Clifton Park, NY 12065-3643 - Phone
- (518) 881-0310
- Fax
- (518) 383-1670
- NPI assigned
- Jan 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | R028225-1 | NY | Primary |
Addresses
Primary practice location
970 Route 146
Clifton Park, NY 12065-3643
Mailing address
970 Route 146
Clifton Park, NY 12065-3643
Phone (518) 881-0310
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R028225-1 | NY | MD | School Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenendehowa Central Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Clifton Park, NY
- NPI 1366726473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327363200000",
"number": "1730450693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 ROUTE 146",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653643",
"telephone_number": "518-881-0310",
"fax_number": "518-383-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 ROUTE 146",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653643",
"telephone_number": "518-881-0310",
"fax_number": "518-383-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "JERI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2012-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NY",
"license": "R028225-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.