Individual provider Active NPI

Brandi Dawn Mayes

  • Professional Counselor
  • Louisa, KY
National Provider Identifier
1033864681
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
298530 Issued in KY
Practice address
125 S Main Cross St Ste 202
Louisa, KY 41230-1065
Phone
(606) 638-0938
NPI assigned
Feb 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 298530 KY Primary

Addresses

Primary practice location

125 S Main Cross St Ste 202
Louisa, KY 41230-1065

Mailing address

200 Mulberry St Ste a
Booneville, KY 41314-7505
Phone (606) 593-6023

Other names 1

  • Brandi Marshall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924001511 KY Practitioner - Mental Health Counselor 4880199561 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Clinic of Booneville, Inc.Group PAC ID 6406764612, 15 clinicians

Practice addresses (Care Compare)

200 Mulberry St
Suite a
Booneville, KY 41314-7505
Phone (606) 593-6023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298530KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Clinic of Booneville, Inc. CurrentSince Jul 4, 2025 Accepting new patients
Family Health Care Clinic PSC CurrentSince Jul 4, 2025 Accepting new patients
Lancaster Family Health Care CurrentSince Jul 4, 2025 Accepting new patients
Mountain Family Practice Clinic of Manchester Inc CurrentSince Jul 4, 2025 Accepting new patients

Locations

200 Mulberry St
#A
Booneville, KY 41314
Phone (606) 596-0701

108 Lexington St
Lancaster, KY 40444
Phone (859) 304-5258

108 Manchester Shopping Ctr
Manchester, KY 40962
Phone (606) 596-0701

1012 Center Dr
Richmond, KY 40475
Phone (859) 626-9694

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3044/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1033864681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MULBERRY ST STE A",
            "city": "BOONEVILLE",
            "state": "KY",
            "postal_code": "413147505",
            "telephone_number": "606-593-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN CROSS ST STE 202",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412301065",
            "telephone_number": "606-638-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "BRANDI",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-12",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "298530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "MARSHALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisa, KY

Sources for this page

Verify at the official NPI Registry.