Active NPI
Jeremiah Mays, LMFT
- Marriage & Family Therapist
- Walla Walla, WA
National Provider Identifier
1528289097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LF 60396336
- Practice address
- 5 W Alder St Ste 236
Walla Walla, WA 99362-2863 - Phone
- (206) 707-9115
- NPI assigned
- May 1, 2007
- Last updated
- Dec 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LF 60396336 | WA | Primary |
Addresses
Primary practice location
5 W Alder St Ste 236
Walla Walla, WA 99362-2863
Mailing address
5 W Alder St Ste 236
Walla Walla, WA 99362-2863
Phone (206) 707-9115
Other names 1
- Jeremy Mays
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LF 60396336 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1528289097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 W ALDER ST STE 236",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622863",
"telephone_number": "206-707-9115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 W ALDER ST STE 236",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622863",
"telephone_number": "206-707-9115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYS",
"first_name": "JEREMIAH",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "LF 60396336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEREMY",
"last_name": "MAYS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.