NICHOLAS R MAYOR MA LPC SAC NPI 1831103761

NPI Information

  • NPI: 1831103761
  • Provider Name: NICHOLAS R MAYOR, MA LPC SAC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 3535 30TH AVENUE
    SUITE 202
    KENOSHA, WI
    ZIP 53144
  • Phone: (262) 842-0500

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NPI Details

Nicholas R Mayor, MA LPC SAC is a professional counselor in Kenosha, WI. Nicholas R Mayor, MA LPC SAC NPI is 1831103761. 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:

3535 30TH AVENUE
SUITE 202
KENOSHA, WI
ZIP 53144
Phone: (262) 842-0500
Fax: (262) 842-0502

The enumeration date for this NPI number is 7/28/2006 and was last updated on 6/20/2008.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)12318WISCONSINNo
2101YP2500XCounselorProfessional1681-125WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
139635400MEDICAIDWISCONSIN

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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