Individual provider Active NPI

Charles Mayo, MSCP, LPC, LAC

  • Mental Health Counselor
  • Baton Rouge, LA
National Provider Identifier
1023416880
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC6411 Issued in LA
Practice address
5800 One Perkins Plaza
Suite 5B
Baton Rouge, LA 70808-8400
Phone
(185) 072-3970
NPI assigned
Dec 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LAT-400 WY
Addiction (Substance Use Disorder) Counselor 101YA0400X 1506 LA
Mental Health Counselor 101YM0800X LPC-2099 WY
Mental Health Counselor 101YM0800X LPC6411 LA Primary

Addresses

Primary practice location

5800 One Perkins Plaza
Suite 5B
Baton Rouge, LA 70808-8400

Mailing address

5800 One Perkins Plaza
Suite 5B
Baton Rouge, LA 70808
Phone (185) 072-3970

Other practice location 1

1841 Madora Ave
Douglas, WY 82633-3057
Phone (307) 358-2846

Other names 1

  • Mr. Charles D Mayo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LAT-400WYMDAddiction (Substance Use Disorder) Counselor
LPC6411LAMDMental Health Counselor
LPC-2099WYMDMental Health Counselor
1506LAMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1023416880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 ONE PERKINS PLAZA",
            "address_2": "SUITE 5B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "185-072-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 ONE PERKINS PLAZA",
            "address_2": "SUITE 5B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708088400",
            "telephone_number": "185-072-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1841 Madora Ave",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "WY",
            "postal_code": "826333057",
            "country_code": "US",
            "telephone_number": "307-358-2846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYO",
        "first_name": "CHARLES",
        "credential": "MSCP,  LPC, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-10",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "LAT-400",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "1506",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "LPC-2099",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "LPC6411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLES",
            "last_name": "MAYO",
            "middle_name": "D",
            "prefix": "MR.",
            "credential": "CHARLES D MAYO LPC,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.