Jean Blair Meyer, LPC-IT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2566226 Issued in WI

Practice address

115 N Center St
Beaver Dam, WI 53916-2119

Phone

(920) 887-1766

NPI assigned

Jan 19, 2016

Last updated

Jan 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1871950022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W 3RD ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161616",
            "telephone_number": "920-296-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CENTER ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162119",
            "telephone_number": "920-887-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JEAN",
        "middle_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "LPC-IT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2566226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Mathwich, DPT
• Stefanie Marie McKnight
• Paul R McMillan, MD
• Mehran Mehrabi, MD, DMD
• Nicole A Merz, PA-C
• Midwest Audiology & Hearing Center Beaver Dam LLC
• Jay M Miesfeld, M.D.
• Jessica L Miesfeld, M.D.
• David Milbradt, L.AC.
• Joseph M Militollo, MD

• Mental Health Counselor in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.