Jacob Mayes

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

20525 Issued in PA

Practice address

27 N Brown St
Lewistown, PA 17044-1734

Phone

(717) 242-1428

Fax

(717) 248-1937

NPI assigned

Nov 15, 2024

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

State licenses

Practice roles

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.

• Brighter Visions Counseling

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lewistown, PA
  • NPI 1104226117
  NPD (past)

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1649095670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 N BROWN ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441734",
            "telephone_number": "717-242-1428",
            "fax_number": "717-248-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 N BROWN ST",
            "city": "LEWISTOWN",
            "state": "PA",
            "postal_code": "170441734",
            "telephone_number": "717-242-1428",
            "fax_number": "717-248-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "PA",
            "license": "20525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Martin, LMT
• Sasha Marie Martin, DPT
• Julie Ann Martinez, RDN, LDN
• Lauren Mathews, RDN
• Min Min Maw, M.D.
• Lauren Marie McCabe, PHARMD
• Ellen McCardell, LPC
• Leslie J McCarl, LCSW
• Caitlin Marie McCarthy, PA-C
• Natalia Maria McCliment, PA-C

• Peer Specialist in Lewistown, PA
• Providers in Lewistown, PA by specialty
• Peer Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.