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NPI Code Detail

MEDICARE: JONATHAN S MAYER MS LPC

MEDICARE:   JONATHAN S MAYER  MS LPC
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 Counselor3706 125WI
2101YP2500XProfessional CounselorCC02907MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2HP75214OTHERWIHEALTH PARTNERS INSURANCE

General Provider Information

NPI Number : 1821211426
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN S MAYER MS LPC
Provider Business Mailing Address
First Line : 100 VINCENT ST S
Second Line :
City : PIERZ
State : MN
Zip : 56364-4125
Country : US
Telephone Number : 715-501-4298
Fax Number :
Provider Business Practice Location Address
First Line : 823 MAPLE ST
Second Line :
City : BRAINERD
State : MN
Zip : 56401-3770
Country : US
Telephone Number : 218-454-8001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 09/27/2023

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Directions to “ JONATHAN S MAYER MS LPC” Practice Location

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