Jason Lee Fairweather, LPC, SACIT, CSIT
Jason Lee Fairweather, LPC, SACIT, CSIT is a Mental Health Counselor in Berlin, Wisconsin. Qualified in 2020, 6 years ago. Practices with County of Green Lake, a 5-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 6
- Licensed in
- WI
- In the registry since
- 2020
What do these letters mean?
- LPC — Licensed Professional Counselor
- A licensed mental health counsellor.
Practice location Address checks out
553 BroadwayBerlin, WI 54923-1323
Phone: (920) 204-6590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 10532-125 (WI) |
|---|
Record details
| NPI number | 1689278590 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPC , SACIT , CSIT |
| Sole proprietor | Yes |
| NPI enumerated | November 23, 2020 |
| Last updated in NPPES | September 26, 2023 |
| Certification date | September 26, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | County Of Green Lake — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |