Individual provider Active NPI

Shantee L Mayfield, LPC

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1104383405
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
77647 Issued in TX
Practice address
2665 Villa Creek Dr Ste 105
Dallas, TX 75234-7356
Phone
(945) 232-7884
NPI assigned
Feb 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 77647 TX Primary

Addresses

Primary practice location

2665 Villa Creek Dr Ste 105
Dallas, TX 75234-7356

Mailing address

2665 Villa Creek Dr Ste 105
Dallas, TX 75234-7356
Phone (945) 232-7884

Other practice location 1

100 N Howard St Ste 5531
Spokane, WA 99201-0508
Phone (503) 308-8287

Other names 1

  • Dr. Tee L Mayfield Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240702000424 OR Practitioner - Mental Health Counselor 8426498254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77647TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Speak 2 Rainbows Mental Health Current Accepting new patients
Mayfield and Associates Mental Health CurrentSince Apr 9, 2024 Accepting new patients

Locations

1050 SW 6th Ave
Ste 1100
Portland, OR 97204
Phone (469) 640-0057

2665 Villa Creek Dr
Ste 105
Dallas, TX 75234
Phone (469) 343-4081

Organizations & group practices 2

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": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1104383405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347356",
            "telephone_number": "945-232-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347356",
            "telephone_number": "945-232-7884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Howard St Ste 5531",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "503-308-8287",
            "fax_number": "469-343-6617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "SHANTEE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-23",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEE",
            "last_name": "MAYFIELD",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.