Individual provider Active NPI

Samuel Westerfield Mahr, LPCC

  • Professional Counselor
  • Winona, MN
National Provider Identifier
1154914786
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC02724 Issued in MN
Practice address
420 E Sarnia St Ste 2100
Winona, MN 55987-6414
Phone
(507) 454-4341
Fax
(507) 453-6267
NPI assigned
Feb 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC02724 MN Primary

Addresses

Primary practice location

420 E Sarnia St Ste 2100
Winona, MN 55987-6414

Mailing address

420 E Sarnia St Ste 2100
Winona, MN 55987-6414
Phone (507) 454-4341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260616001141 WI Practitioner - Mental Health Counselor 9335611888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

401 Main St
FL 5
La Crosse, WI 54601-4026

421 Main St
Suite 314
La Crosse, WI 54601-4076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC02724MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1154914786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST STE 2100",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876414",
            "telephone_number": "507-454-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E SARNIA ST STE 2100",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876414",
            "telephone_number": "507-454-4341",
            "fax_number": "507-453-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHR",
        "first_name": "SAMUEL",
        "middle_name": "WESTERFIELD",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC02724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.