Individual provider Active NPI

Aolani Mayo, LMHC

  • Mental Health Counselor
  • Palm Bay, FL
National Provider Identifier
1164259529
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24170 Issued in FL
Practice address
1501 Robert J Conlan Blvd NE Ste 7
Palm Bay, FL 32905-3559
Phone
(321) 372-6897
Fax
(321) 372-6896
NPI assigned
Sep 18, 2024
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH24170 FL Primary

Addresses

Primary practice location

1501 Robert J Conlan Blvd NE Ste 7
Palm Bay, FL 32905-3559

Mailing address

1501 Robert J Conlan Blvd NE Ste 7
Palm Bay, FL 32905-3559
Phone (321) 372-6897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Recovery and Wellness Center LLC CurrentSince Mar 10, 2025 Accepting new patients

Locations

1501 Robert J Conlan Blvd NE
Ste 7
Palm Bay, FL 32905
Phone (321) 372-6897

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1164259529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 7",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053559",
            "telephone_number": "321-372-6897",
            "fax_number": "321-372-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 ROBERT J CONLAN BLVD NE STE 7",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053559",
            "telephone_number": "321-372-6897",
            "fax_number": "321-372-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "AOLANI",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

Verify at the official NPI Registry.