Individual provider Active NPI

Jamie Alane Merrill, MA, LPC, IMH-E

  • Professional Counselor
  • Jackson, MI
National Provider Identifier
1891334108
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013896 Issued in MI
Practice address
1214 Greenwood Ave
Jackson, MI 49203-3037
Phone
(517) 745-1115
NPI assigned
Jan 3, 2020
Last updated
Jan 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013896 MI Primary

Addresses

Primary practice location

1214 Greenwood Ave
Jackson, MI 49203-3037

Mailing address

1214 Greenwood Ave
Jackson, MI 49203-3037
Phone (517) 745-1115

Other practice location 1

719 Bonnie St
Charlotte, MI 48813-1707
Phone (706) 987-0187

Other identifiers 1

IdentifierTypeStateIssuer
6401013896OtherMILICENSED PROFESSIONAL COUNSELOR LPC

Other names 1

  • Ms. Jamie Alane Snedegar Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
6401013896MIMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1891334108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 GREENWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033037",
            "telephone_number": "517-745-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 GREENWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033037",
            "telephone_number": "517-745-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 Bonnie St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "MI",
            "postal_code": "488131707",
            "country_code": "US",
            "telephone_number": "706-987-0187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "JAMIE",
        "middle_name": "ALANE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, IMH-E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR LPC",
            "identifier": "6401013896",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "SNEDEGAR",
            "middle_name": "ALANE",
            "prefix": "MS.",
            "credential": "MA, LPC, IMH-E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.