Provider Demographics
NPI:1275691560
Name:MEIER, JOHN F (LPC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:MEIER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 E KNAPP ST
Mailing Address - Street 2:STE 34
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-2896
Mailing Address - Country:US
Mailing Address - Phone:414-305-3049
Mailing Address - Fax:414-347-9419
Practice Address - Street 1:930 E KNAPP ST
Practice Address - Street 2:STE 34
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-2896
Practice Address - Country:US
Practice Address - Phone:414-305-3049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2835-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI40961700Medicaid