Individual ProviderJeremy Alexander HerringCounselorBehavioral Health & Social Service ProvidersPractice Address1115 Broadway Fl 10, New York, NY 10010-3454(646) 397-5255(919) 641-1099PECOS EnrollmentBased on the most recent information from CMS, provider Jeremy Alexander Herring does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1316668577Provider TypeIndividualFull NameHerring, Jeremy AlexanderCredentialLMHCGenderMaleSole ProprietorNoEnumeration Date9/7/2022Last Updated6/29/2025Contact InformationPractice LocationPractice Address1115 Broadway Fl 10, New York, NY 10010-3454Phone(646) 397-5255Fax(914) 462-4476Mailing LocationMailing Address9519 Seascape Ln Unit 3, Berlin, MD 21811-2890Phone(919) 641-1099FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense016253New YorkCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer