Dewey Scott Mayberry, M.A. LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7715 Issued in FL

Practice address

4626 Lori LN
Pace, FL 32571-1560

Phone

(850) 266-3025

Fax

(850) 944-9676

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1063686699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 LORI LN",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711560",
            "telephone_number": "850-266-3025",
            "fax_number": "850-944-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 LORI LN",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325711560",
            "telephone_number": "850-266-3025",
            "fax_number": "850-944-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "DEWEY",
        "middle_name": "SCOTT",
        "credential": "M.A. LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coleman Lee Marcus, RN
• Lori Michell Martin
• Nikki Martin, M.S. CCC-SLP
• Kimberly Marie Mauk, PTA
• Laura Belle Maupin, ARNP
• Amanda Lane McBride, ARNP
• Melissa Chavers McCoy, OTR L
• Ashley Jones McDaniel, LCSW
• Riley McDaniel, ARNP
• Briggs Alan McGinnis Jr., DMD

• Mental Health Counselor in Pace, FL
• Providers in Pace, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.