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MATHEW AVERY MAYES LPC-IT, SAC-IT
NPI 1255015962
Counselor in West Allis, WI

Active since June 13, 2023PECOS Enrolled
1205 S 70TH ST, STE. 301, 1205, WEST ALLIS, WI 53214(414) 531-5207 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mathew Avery Mayes Lpc-it, Sac-it NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATHEW AVERY MAYES LPC-IT, SAC-IT (NPI 1255015962) is an individual counselor in West Allis, Wisconsin, licensed in Wisconsin (7265-226) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255015962
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMATHEW AVERY MAYESCredential: LPC-IT, SAC-IT
Location Address1205 S 70TH ST, STE. 301, 1205West Allis, WI 53214-3167
Mailing Address6233 39th AveKenosha, WI 53142-7015 · (262) 652-1004
Phone(414) 531-5207
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 13, 2023
NPPES CertifiedJune 13, 2023
✔ NPI 1255015962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 7265-226
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1205 S 70TH ST, STE. 301, West Allis, WI 53214
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mathew Avery Mayes Lpc-it, Sac-it is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911478813
PECOS Enrollment IDI20260602000744
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY LYNNE LINNELL APSW
Social Worker
1205 S 70TH ST, STE. 301
WEST ALLIS, WI 53214
Milwaukee County (414) 531-5207
RACHEL GREENE LPC-IT
Counselor
1205 S 70TH ST, STE. 301
WEST ALLIS, WI 53214
Milwaukee County (414) 475-2788
MARIA ANGELICA PETERSON
Social Worker
1205 S 70TH ST, STE. 301
WEST ALLIS, WI 53214
Milwaukee County (414) 531-5207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mathew Mayes's NPI number?

The NPI number for Mathew Mayes is 1255015962. It was assigned to this individual provider in the NPPES registry on June 13, 2023.

Where is Mathew Mayes located?

Mathew Mayes practices at 1205 S 70th St, Ste. 301 1205, West Allis, WI 53214. The listed phone number is (414) 531-5207.

What is Mathew Mayes's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Mathew Mayes enrolled in Medicare?

Yes. Mathew Mayes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mathew Mayes was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.