Provider Demographics
NPI:1942722624
Name:MERTES, AARON PETER (PHD, LPC-IT, CRC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:PETER
Last Name:MERTES
Suffix:
Gender:M
Credentials:PHD, LPC-IT, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11332 N RICKY RD
Mailing Address - Street 2:
Mailing Address - City:EDGERTON
Mailing Address - State:WI
Mailing Address - Zip Code:53534-9447
Mailing Address - Country:US
Mailing Address - Phone:182-831-0371
Mailing Address - Fax:
Practice Address - Street 1:11332 N RICKY RD
Practice Address - Street 2:
Practice Address - City:EDGERTON
Practice Address - State:WI
Practice Address - Zip Code:53534-9447
Practice Address - Country:US
Practice Address - Phone:319-693-5694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8349-226101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional