Havala Mayer

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

3501 Park Lane Dr
La Crosse, WI 54601-7747

Phone

(608) 789-4800

NPI assigned

Jan 5, 2024

Sex

Female

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

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Moving Mountains Therapy Center, PLLC

  • Mental Health Occupational Therapist
  • Missoula, MT
  • NPI 1528526894
  Medicare reassignment NPD

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1578333027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N CALIFORNIA ST APT 302",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011763",
            "telephone_number": "715-401-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 PARK LANE DR",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546017747",
            "telephone_number": "608-789-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "HAVALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Jean Mattie, APNP
• Jennifer S Mattingley, MD
• Rhonda L Mattingly, NNP
• Alicia Emily Mattson, PHARM D
• Dyllan May, DDS
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Mayo Clinic Health System Skemp Pharmacy)
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Mayo Clinic Health System La Crosse Hospital Pharmacy)
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Franciscan Healthcare - Hospice)
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Mayo Clinic Health System - La Crosse)
• Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (Franciscan Healthcare - La Crosse)

• Occupational Therapist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.