Individual provider Active NPI

Merytony Pierre Jean, PASTOR

  • Pastoral Counselor
  • Philadelphia, PA
National Provider Identifier
1891253472
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
2841 Knorr St
Philadelphia, PA 19149-2518
Phone
(267) 608-0073
NPI assigned
Mar 3, 2019
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X NU Primary
Home Health Aide 374U00000X NU

Addresses

Primary practice location

2841 Knorr St
Philadelphia, PA 19149-2518

Mailing address

2841 Knorr St
Philadelphia, PA 19149-2518
Phone (267) 608-0073

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

NPI Registry JSON

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1891253472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 KNORR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492518",
            "telephone_number": "267-608-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 KNORR ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492518",
            "telephone_number": "267-608-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE JEAN",
        "first_name": "MERYTONY",
        "name_prefix": "Mrs.",
        "credential": "PASTOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-03",
        "last_updated": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.