Provider Demographics
NPI:1124459524
Name:MERKER, JONATHAN (MA, LMHC)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:MERKER
Suffix:
Gender:M
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 W 20TH ST APT 1C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3635
Mailing Address - Country:US
Mailing Address - Phone:206-707-9188
Mailing Address - Fax:
Practice Address - Street 1:152 W 20TH ST APT C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-3635
Practice Address - Country:US
Practice Address - Phone:206-707-9188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-10
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60547238101YM0800X
NJ37PC00707500101YP2500X
COLPC.0015458101YP2500X
NY011143101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional