Individual provider Active NPI

Jamie Claire McMenamin, LPC

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1932746567
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC011904 Issued in PA
Practice address
226 W Rittenhouse SQ Apt 602
Philadelphia, PA 19103-7603
Phone
(610) 209-9248
NPI assigned
Dec 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 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 PC011904 PA Primary

Addresses

Primary practice location

226 W Rittenhouse SQ Apt 602
Philadelphia, PA 19103-7603

Mailing address

226 W Rittenhouse SQ Apt 602
Philadelphia, PA 19103-7603
Phone (610) 209-9248

Other identifiers 1

IdentifierTypeStateIssuer
PC011904OtherPACOMMONWEALTH OF PA DEPT. OF STATE

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

State licenses

LicenseStateTypeSpecialty
PC011904PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1932746567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W RITTENHOUSE SQ APT 602",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037603",
            "telephone_number": "610-209-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W RITTENHOUSE SQ APT 602",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191037603",
            "telephone_number": "610-209-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMENAMIN",
        "first_name": "JAMIE",
        "middle_name": "CLAIRE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PA DEPT. OF STATE",
            "identifier": "PC011904",
            "state": "PA"
        }
    ],
    "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 Dec 2, 2019; 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.