Michael Mahon, PLPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2024003594 Issued in MO

Practice address

8000 Bonhomme Ave Ste 206
Clayton, MO 63105-3515

Phone

(833) 822-5537

Fax

(949) 863-5179

NPI assigned

Feb 16, 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

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.

• Emergence Psychological Services

  • Community/Behavioral Health Agency
  • Saint Louis, MO
  • NPI 1194140756
  NPD

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1730944968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 RED BUD DR",
            "city": "WOOD RIVER",
            "state": "IL",
            "postal_code": "620951357",
            "telephone_number": "618-975-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 BONHOMME AVE STE 206",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053515",
            "telephone_number": "833-822-5537",
            "fax_number": "949-863-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON",
        "first_name": "MICHAEL",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2024003594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asia D Long
• Andrew Linn Lovins, NONE
• Thomas Lucas, MD
• Noah Lyles PHD MFT, PHD MFT
• Jalessa Mabry
• Rameez Malik, M.D.
• Charles Brent Mallin, D.D.S.
• Gil Marsh, M.S.W.
• Jared Martin
• Jamie Nicole Matlock, M.A., CCC-SLP

• Counselor in Clayton, MO
• Providers in Clayton, MO by specialty
• Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.