Jason R Magill, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7136 Issued in WI

Practice address

110 Baker St Ste C
Waunakee, WI 53597-2707

Phone

(608) 849-5430

Fax

(858) 225-7950

NPI assigned

Nov 15, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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.

• Psychotherapy Center of Waunakee LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Waunakee, WI
  • NPI 1578196168
  NPD

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1891039905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BAKER ST STE C",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535972707",
            "telephone_number": "608-849-5430",
            "fax_number": "858-225-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BAKER ST STE C",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535972707",
            "telephone_number": "608-849-5430",
            "fax_number": "858-225-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Health Services Dr",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601159637",
            "country_code": "US",
            "telephone_number": "815-756-4875",
            "fax_number": "815-756-2944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGILL",
        "first_name": "JASON",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-15",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178005211",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paul Thomas Maggio, D.D.S.
• Magnolia Therapy and Mentoring LLC
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• Mary S. Markielewski, REGISTERED NURSE
• Joann Martens, DDS
• Dedra Matcha, RN

• Professional Counselor in Waunakee, WI
• Providers in Waunakee, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.