THOR LAWLER MAHAN (NPI# 1427659648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427659648 |
| Entity Type | Individual |
| Full Name | THOR LAWLER MAHAN |
| Credential | LPC |
| Practice Address |
30 Margaret Ct Fair Lawn NJ 07410-4825 |
| Practice Telephone | 7326910604 |
| Mailing Telephone | 7326910604 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
NJ | Behavioral Health & Social Service Providers |
| Street Address |
30 MARGARET CT |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720328305 | Julie Fishelson Mahan | Social Worker | 30 Margaret Ct, Fair Lawn, NJ 07410-4825 | 2013-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1215420344 | Yamile Manotas | Counselor | 22-08 Route 208 Ste 7, Fair Lawn, NJ 07410-2609 | 2018-06-13 |
| 1194157750 | Esther Doh | Counselor | 22-08 Route 208 Ste 16, Fair Lawn, NJ 07410-2609 | 2013-08-06 |
| 1497049274 | Deborah Dorothea Berger | Counselor | 7 Randolph Ter, Fair Lawn, NJ 07410-3316 | 2011-06-08 |
| 1194324103 | Aileen Ok | Counselor | 22-08 Route 208, Fair Lawn, NJ 07410-2609 | 2020-10-21 |
| 1538710744 | Lisa Ra | Counselor | 22-08 Route 208 Ste 16, Fair Lawn, NJ 07410-2609 | 2019-09-28 |
| 1831757491 | Jeannie Kang-suh | Counselor | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2019-05-30 |
| 1376011080 | Danielle C Leva | Counselor | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2018-11-12 |
| 1467969121 | Ashley O'beirne | Counselor | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2018-01-03 |
| 1972018711 | Jennifer Loaiza | Counselor | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2017-12-01 |
| Find all providers in FAIR LAWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.