Provider Demographics
NPI:1871966150
Name:BEHLER, JONATHAN (LPC, LMHC, PHD, MA)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:BEHLER
Suffix:
Gender:
Credentials:LPC, LMHC, PHD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3916 S AMHERST HWY
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:VA
Mailing Address - Zip Code:24572-5963
Mailing Address - Country:US
Mailing Address - Phone:252-269-9322
Mailing Address - Fax:
Practice Address - Street 1:3916 S AMHERST HWY
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:24572-5963
Practice Address - Country:US
Practice Address - Phone:252-269-9322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-09
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701012486101YP2500X
AL04767101YP2500X
NC11786101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional