Ethan C Mandelkern is a Mount Shasta, California based counselor with 19 years of experience in Professional Counselor. He completed his graduation from Other in 2006. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Ethan C Mandelkern is LCSW64679 for Social Worker in California. His current practice location is 419 Chestnut St, Suite #2, Mount Shasta. Patients can book an appointment with him at 530-918-8348.
Ethan C Mandelkern is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. He uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Ethan C Mandelkern speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Ethan C Mandelkern
Specialization:
Professional Counselor
Gender:
Male
Experience:
19+ years
Medical School Attended:
Other
Graduation Year:
2006
Accepts Medicare Assignment:
May Accept
Practice Address:
419 Chestnut St, Suite #2, Mount Shasta, California, 96067-2918
Phone:
530-918-8348
Fax:
530-918-5477
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6204137771
Enrollment ID:
I20151229001508
NPI Number:
1023224623
NPI Enumeration Date:
14 May, 2007
NPI Last Update On:
12 Aug, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan C Mandelkern are as mentioned below.
License Number
Specialization
State
Status
LCSW64679
Social Worker
California
Primary
LPCC726
Professional Counselor
California
Secondary
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
He does not participate in the Physician Quality Reporting System Incentive Program.
EHR
He does not participate in the Electronic Health Record Incentive Program.
MHI
He does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
419 Chestnut St, Suite #2 Mount Shasta, California
Zip:
96067-2918
Phone Number:
530-918-8348
Fax Number:
530-918-5477
Patients can reach Ethan C Mandelkern at 419 Chestnut St, Suite #2, Mount Shasta, California or can call to book an appointment on 530-918-8348. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.