John Mayack

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1084 S Main St Ste a
Bowling Green, OH 43402-4740

Phone

(439) 352-4624

Fax

(419) 352-4624

NPI assigned

Jan 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1477268779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 STARR AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052456",
            "telephone_number": "419-936-7317",
            "fax_number": "419-936-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 S MAIN ST STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024740",
            "telephone_number": "439-352-4624",
            "fax_number": "419-352-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYACK",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella Mackenzie Matney, RD, LD, MFN, MED
• Jeanne M Matthews, OTR/L
• Maumee Valley Internist Inc
• Alicia M Maurer-Vallier, MA, MFT
• Lauren Paige Maxwell, LPC
• Crispina Mayes, RN
• Morgan McCormick
• Bonnie L McCourt, LSW
• Paul A McCrory III, NP
• Ross McDermott, MD

• Mental Health Counselor in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.