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NPI Code Detail

MEDICARE: JOHN AYER LMHC

MEDICARE: JOHN AYER LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor0091271NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902828106
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN AYER LMHC
Provider Business Mailing Address
First Line : 1317 LUANA ST
Second Line : STUDIO
City : SANTA FE
State : NM
Zip : 87505-3238
Country : US
Telephone Number : 505-699-5111
Fax Number :
Provider Business Practice Location Address
First Line : 459 CERRILLOS RD
Second Line :
City : SANTA FE
State : NM
Zip : 87501-2636
Country : US
Telephone Number : 505-699-5111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/09/2007

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