NICHOLAS R MAYOR (NPI# 1831103761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831103761 |
| Entity Type | Individual |
| Full Name | NICHOLAS R MAYOR |
| Credential | MA LPC SAC |
| Practice Address |
3535 30th Avenue Suite 202 Kenosha WI 53144 |
| Mailing Address |
285 N Janacek Rd Brookfield WI 53045-6102 |
| Practice Telephone | 2628420500 |
| Practice Fax Number | 2628420502 |
| Mailing Telephone | 2626419050 |
| Mailing Fax Number | 2626419126 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12318 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
1681-125 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39635400 | 05 |
| Street Address |
3535 30TH AVENUE SUITE 202 |
| City | KENOSHA |
| State | WI |
| Zip Code | 53144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194923045 | Suresh R Naikmd Sc | Internal Medicine | 3535 30th Avenue, #207 Suresh R Naik Md Sc, Kenosha, WI 53144 | 2007-07-03 |
| 1528125192 | Suresh R Naik | Internal Medicine | 3535 30th Avenue, #207 Suresh R Naik Md Sc, Kenosha, WI 53144 | 2007-01-03 |
| 1639247828 | Vincent Paul Savaglio | Ophthalmology | 3535 30th Avenue, Suite 102, Kenosha, WI 53144 | 2006-12-04 |
| 1245308477 | Savaglio Eye Clinic Sc | Ophthalmology | 3535 30th Avenue, Suite 102, Kenosha, WI 53144 | 2006-12-04 |
| 1326113309 | Goro Tsuchiya Md Sc | Neurological Surgery | 3535 30th Avenue, Suite 205, Kenosha, WI 53144-1632 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410202 | Dpt Holdings LLC | Occupational Therapist | 3825 39th Ave #110, Kenosha, WI 53144 | 2020-09-03 |
| 1225641392 | Eunice Boatin | Social Worker | Kenosha Human Development Services, 3536 52nd Street, Kenosha, WI 53144 | 2020-08-28 |
| 1881250256 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 3621 Market Lane, Kenosha, WI 53144 | 2019-05-11 |
| 1124540067 | Kaitlyn King | Speech-Language Pathologist | 5219 88th Ave., Kenosha, WI 53144 | 2017-07-12 |
| 1174992721 | Claire Ann Adams | Acupuncturist | 5416 52nd Street, Kenosha, WI 53144 | 2015-09-24 |
| 1285017087 | Jessica Lynn Gillengerten | Acupuncturist | 4235 Green Bay Rd., Suite #10, Kenosha, WI 53144 | 2015-06-30 |
| 1750704656 | Amanda Kay Kreuzer | Occupational Therapy Assistant | 3109 30th Ave, Kenosha, WI 53144 | 2014-01-28 |
| 1841626785 | B7 Pharmacy Inc | Pharmacy | 3825 39th Ave Ste 100, Kenosha, WI 53144 | 2013-09-24 |
| 1124326764 | Wisconsin Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3710 57th Ave, Kenosha, WI 53144 | 2011-03-07 |
| 1982931291 | Roman Bilak | General Practice | 4126 - 7th Street, Kemosha, WI 53144 | 2009-11-06 |
| Find all providers in zip 53144 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316562101 | Victoria Meyer | Counselor | 8215 43rd Ave, Kenosha, WI 53142-4587 | 2020-06-08 |
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1346750056 | Christopher Francis Gerou | Counselor | 3813 21st Ave, Kenosha, WI 53140-5321 | 2017-10-08 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1306210539 | Sherry Lewis | Counselor | 2221 63rd St, Suite 8, Kenosha, WI 53143-4351 | 2015-11-27 |
| 1275907701 | Worth Counseling | Counselor | 7730 5th Ave, Kenosha, WI 53143-6007 | 2015-11-20 |
| 1053787788 | Angela J Kuffel | Counselor | Professional Services Group, 2108-63 Street, Kenosha, WI 53143-4454 | 2015-08-17 |
| 1063836187 | Melissa Carlberg | Counselor | 8503 75th St Ste A, Kenosha, WI 53142-7620 | 2014-02-10 |
| 1831534551 | Carla Doreen Pratt | Counselor | 6121 Green Bay Rd Ste 220, Kenosha, WI 53142-2983 | 2013-05-08 |
| 1114238656 | Holly K. Kegel | Counselor | 7530 39th Ave, Kenosha, WI 53142-4348 | 2010-06-30 |
| Find all providers in KENOSHA | ||||
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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.