Individual provider Active NPI

Jean Sharon Pfeifer, LMFT

  • Marriage & Family Therapist
  • Cape Vincent, NY
National Provider Identifier
1801050646
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000156 Issued in NY
Practice address
32340 Ny RT 12E
Cape Vincent, NY 13618-2100
Phone
(315) 501-4040
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000156 NY
Marriage & Family Therapist 106H00000X 000156 NY Primary

Addresses

Primary practice location

32340 Ny RT 12E
Cape Vincent, NY 13618-2100

Mailing address

PO Box 145
32340 Ny RT 12E
Cape Vincent, NY 13618-2100
Phone (315) 501-4040

Other identifiers 1

IdentifierTypeStateIssuer
VADOOOOtherNYUPIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jeanpfeifer016@gmail.com

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
I20240223003311 NY Practitioner - Marriage and Family Therapist 9032554571 Practice locations: Cape Vincent, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1801050646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "address_2": "32340 NY RT 12E",
            "city": "CAPE VINCENT",
            "state": "NY",
            "postal_code": "136182100",
            "telephone_number": "315-501-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32340 NY RT 12E",
            "city": "CAPE VINCENT",
            "state": "NY",
            "postal_code": "136182100",
            "telephone_number": "315-501-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFER",
        "first_name": "JEAN",
        "middle_name": "SHARON",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000156",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "VADOOO",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jeanpfeifer016@gmail.com",
            "affiliation": "N",
            "address_1": "32340 NY Rt 12 E",
            "city": "Cape Vincent",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136182100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Vincent, NY

Sources for this page

Verify at the official NPI Registry.