Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154529196 Individual Practitioner Male Practitioner

Peter L Mayo , LPC

Counselor - Professional • Menasha, WI

Professional Overview & Biography Verified Profile Summary

Peter Mayo, LPC is a registered healthcare professional specializing in Counselor - Professional in Menasha, WI. Practice services are available at 130 MAIN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 Main Street
Suite 200

Menasha, WI 54952

Telephone 9203797769

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Menasha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
47 Specialists

Practicing in Menasha, WI (4511 Statewide)

Telehealth Adoption Rate
6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License WI 3461-125

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License WI 15332-132

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
40969100 (WI)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2016

Registered at 130 MAIN STREET, SUITE 200, MENASHA, WI 54952 (Tel: 9203797769)

📍
Updated Business Mailing Address July 07, 2016

Registered at 130 MAIN STREET, SUITE 200, MENASHA, WI 54952 (Tel: 9203797769)

👤
Provider Name / Credentials Updated July 07, 2016

Recorded as PETER MAYO, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2016

Counselor (License #15332-132 in WI)

🟢
Initial NPI Registration & Enumeration July 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154529196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2007
Last Update: July 07, 2016
Sole Proprietor: Yes

Mailing Address

130 Main Street, Suite 200

Menasha, WI 54952

Phone: 9203797769

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.