Individual provider Active NPI

Rana Yolanda Mayes, LMHC, LPC

  • Professional Counselor
  • Madison, AL
National Provider Identifier
1174108872
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC05163 Issued in AL
Practice address
3776 Sullivan St Ste D
Madison, AL 35758-2344
Phone
(256) 325-0467
Fax
(256) 325-0469
NPI assigned
Mar 14, 2021
Last updated
Sep 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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 MH22666 FL
Professional Counselor 101YP2500X LPC05163 AL Primary

Addresses

Primary practice location

3776 Sullivan St Ste D
Madison, AL 35758-2344

Mailing address

22701 Ansley Dr
Athens, AL 35613-7181
Phone (423) 840-1412

Other identifiers 3

IdentifierTypeStateIssuer
1206300500MedicaidFL
MH22666OtherFLLICENSED MENTAL HEALTH COUNSELOR
LPC05163OtherALLICENSED PROFESSIONAL COUNSELOR

Other names 1

  • Rana Yolanda Hudson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20260518002457 AL Practitioner - Mental Health Counselor 6406325539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Decatur, AL 35602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22666FLMDMental Health Counselor
LPC05163ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Consulting, LLC Professional Past Accepting new patients

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": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726358400000",
    "number": "1174108872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22701 ANSLEY DR",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356137181",
            "telephone_number": "423-840-1412",
            "fax_number": "256-325-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3776 SULLIVAN ST STE D",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582344",
            "telephone_number": "256-325-0467",
            "fax_number": "256-325-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "RANA",
        "middle_name": "YOLANDA",
        "name_prefix": "Ms.",
        "credential": "LMHC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-14",
        "last_updated": "2024-09-15",
        "certification_date": "2024-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22666",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC05163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1206300500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "MH22666",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "LPC05163",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANA",
            "last_name": "HUDSON",
            "middle_name": "YOLANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.