Individual provider Active NPI

Jennifer Meyerhoff

  • Mental Health Counselor
  • Ballston Spa, NY
National Provider Identifier
1891204434
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
009349 Issued in NY
Practice address
35 Bath St
Ballston Spa, NY 12020-1745
Phone
(518) 245-6272
NPI assigned
Sep 27, 2017
Last updated
May 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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 009349 NY Primary

Addresses

Primary practice location

35 Bath St
Ballston Spa, NY 12020-1745

Mailing address

121 Winthrop Ave Apt 1
Albany, NY 12203-1939
Phone (518) 232-4223

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
I20240122002425 NY Practitioner - Mental Health Counselor 9830541218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Psychological Associates PLLC CurrentSince Jan 1, 2024 Accepting new patients
Northeast Psychological Associates PastSince Jan 1, 2024 Accepting new patients

Locations

435 New Karner Rd
Albany, NY 12205
Phone (518) 456-1622

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1891204434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WINTHROP AVE APT 1",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031939",
            "telephone_number": "518-232-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BATH ST",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201745",
            "telephone_number": "518-245-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERHOFF",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

Verify at the official NPI Registry.