JUSTIN MISTRETTA LPC NPI 1346858792

NPI Information

NPI: 1346858792
Provider Name: JUSTIN MISTRETTA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
7617 MINERAL POINT RD STE 300
MADISON, WI
ZIP 53717
Phone: (608) 833-9290
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Justin Mistretta, LPC is a professional counselor in Madison, WI. Justin Mistretta, LPC NPI is 1346858792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7617 MINERAL POINT RD STE 300
MADISON, WI
ZIP 53717-623
Phone: (608) 833-9290
Fax: (608) 833-9691

The NPI 1346858792 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/21/2020 and was last updated on 7/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	7849	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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