Active NPI
Meghan Bokeno, MT-BC
- Music Therapist
- Fairfield, OH
National Provider Identifier
1730773771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 12 Lake Cumberland Dr
Fairfield, OH 45014-4478 - Phone
- (720) 933-9057
- NPI assigned
- Feb 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | MUS.24000336 | OH | |
| Music Therapist | 225A00000X | Primary |
Addresses
Primary practice location
12 Lake Cumberland Dr
Fairfield, OH 45014-4478
Mailing address
12 Lake Cumberland Dr
Fairfield, OH 45014-4478
Phone (720) 933-9057
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MUS.24000336 | Other | OH | CSWMFT BOARD |
| 11306 | Other | CERTIFICATION BOARD FOR MUSIC THERAPISTS |
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 |
|---|---|---|---|
| MUS.24000336 | OH | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1730773771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 LAKE CUMBERLAND DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450144478",
"telephone_number": "720-933-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 LAKE CUMBERLAND DR",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450144478",
"telephone_number": "720-933-9057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOKENO",
"first_name": "MEGHAN",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-20",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "OH",
"license": "MUS.24000336",
"primary": false
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSWMFT BOARD",
"identifier": "MUS.24000336",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION BOARD FOR MUSIC THERAPISTS",
"identifier": "11306",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.