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NPI Code Detail

MEDICARE: RICHARD MAYER

MEDICARE:   RICHARD  MAYER
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 Counselor180.015067IL

General Provider Information

NPI Number : 1952260127
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD MAYER
Provider Business Mailing Address
First Line : 325 IL ROUTE 2
Second Line :
City : DIXON
State : IL
Zip : 61021-9118
Country : US
Telephone Number : 815-516-8898
Fax Number :
Provider Business Practice Location Address
First Line : 325 IL ROUTE 2
Second Line :
City : DIXON
State : IL
Zip : 61021-9118
Country : US
Telephone Number : 815-516-8898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2026
Last Update Date : 01/21/2026

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Directions to “ RICHARD MAYER ” Practice Location

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