Jason Maher

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC04852 Issued in AL

Practice address

201 Regency CT
Dothan, AL 36305-1179

Phone

(334) 673-8869

Fax

(334) 673-8851

NPI assigned

May 1, 2023

Last updated

May 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wiregrass Wellness Center, LLC

  • Psychiatry Physician
  • Dothan, AL
  • NPI 1013117167
  NPD
• Warren Behavioral Care

  • Professional Counselor
  • Dothan, AL
  • NPI 1851762009
  NPD (past)

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1861181380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8308",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363040308",
            "telephone_number": "334-673-8869",
            "fax_number": "334-673-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 REGENCY CT",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051179",
            "telephone_number": "334-673-8869",
            "fax_number": "334-673-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC04852",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC04852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna June Madison, CRNA
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• Mary Grace Magalong, MD
• Ganpat Maheshwari
• Will Mahone
• Marissa N Maietta, OTD, OTR/L
• Haider Malik, MD
• Saeeda K. Malik, MD

• Professional Counselor in Dothan, AL
• Providers in Dothan, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.