Lamont McPheron

Individual provider Active NPI Mental Health Counselor · Westby, WI

NPI 1487070439 · NPPES record last updated Mar 14, 2014

Key facts

NPI
1487070439
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
2084-226 (WI)
Practice address
S1597 Hanson Rd
Westby, WI 54667-8396
Phone
(608) 574-0582
Fax
(608) 634-6918
NPI assigned
Mar 14, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2084-226WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Garrison Counseling, Inc. Past Accepting new patients
Hidden Springs Clinic Mental Health Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2084-226 WI Yes

Addresses

Primary practice location

S1597 Hanson Rd
Westby, WI 54667-8396

Mailing address

415 E Terhune St
Viroqua, WI 54665
Phone (608) 606-3375

Other providers in Westby, WI

All providers in Westby, WI · Mental Health Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.