Mayer, Jonathan S

Mayer, Jonathan S is an individual health care provider with primary practice located at 823 Maple St , Brainerd MN 56401-3770. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Mayer, Jonathan S can be contacted via phone (218) 454-8001.

Contact Information

Primary practice address
823 Maple St Brainerd MN 56401-3770
Phone: (218) 454-8001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3706 125 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X CC02907 Minnesota

Profile Details

NPI number 1821211426
LBN Legal business name Mayer, Jonathan S
Credentials MS LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Sep 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821211426 NPPES
Wisconsin MEDICAID 41002300
Wisconsin Other HP75214

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