Individual provider Active NPI

Joanna Lee Myers, M.S., NCC, LMHC

  • Mental Health Counselor
  • Seymour, IN
National Provider Identifier
1811021330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39000340A Issued in IN
Practice address
505 Community Dr
Seymour, IN 47274-1929
Phone
(812) 522-1909
Fax
(812) 522-1977
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 39000340A IN Primary

Addresses

Primary practice location

505 Community Dr
Seymour, IN 47274-1929

Mailing address

640 West Dr
Seymour, IN 47274-1462
Phone (812) 522-7838

Other identifiers 2

IdentifierTypeStateIssuer
000000228038OtherINANTHEM BC-BS PIN
041272OtherINSIHO PIN

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39000340AINMDMental 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": "1811021330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 WEST DR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472741462",
            "telephone_number": "812-522-7838",
            "fax_number": "812-522-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COMMUNITY DR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472741929",
            "telephone_number": "812-522-1909",
            "fax_number": "812-522-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JOANNA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.S., NCC, LMHC",
        "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": "IN",
            "license": "39000340A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC-BS PIN",
            "identifier": "000000228038",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO PIN",
            "identifier": "041272",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.