MATHEW AVERY MAYES LPC-IT SAC-IT NPI 1255015962

NPI Information

  • NPI: 1255015962
  • Provider Name: MATHEW AVERY MAYES, LPC-IT, SAC-IT
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 1205 S 70TH ST, STE. 301
    1205
    WEST ALLIS, WI
    ZIP 53214
  • Phone: (414) 531-5207

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NPI Details

Mathew Avery Mayes, LPC-IT, SAC-IT is a counselor in West Allis, WI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Mathew Avery Mayes, LPC-IT, SAC-IT NPI is 1255015962. 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:

1205 S 70TH ST, STE. 301
1205
WEST ALLIS, WI
ZIP 53214-167
Phone: (414) 531-5207

The enumeration date for this NPI number is 6/13/2023 and was last updated on 6/13/2023.

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
1101Y00000XCounselor7265-226WISCONSINYes

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: 3/30/2025

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