Individual provider Active NPI

Mary Ann Mayer, LCSW

  • Mental Health Counselor
  • Sherman Oaks, CA
National Provider Identifier
1184973703
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW93942 Issued in CA
Practice address
4401 Sepulveda Blvd Unit 210
Sherman Oaks, CA 91403-3934
Phone
(424) 218-9880
NPI assigned
Aug 29, 2012
Last updated
Feb 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 LCSW93942 CA Primary

Addresses

Primary practice location

4401 Sepulveda Blvd Unit 210
Sherman Oaks, CA 91403-3934

Mailing address

7050 E Sunrise Dr Unit 5105
Tucson, AZ 85750-0864
Phone (310) 895-4160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220808003314 CA Practitioner - Clinical Social Worker 9638551633 Reassigns benefits to 1 organization
I20251022000902 AZ Practitioner - Clinical Social Worker 9638551633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sea Glass Mental Health Inc.Group PAC ID 0547643959, 3 clinicians
Parish Health and Wellness IncGroup PAC ID 4880941426, 3 clinicians

Practice addresses (Care Compare)

Scottsdale, AZ 85251
Phone (480) 256-2605

22425 Sunbright Ave
Red Bluff, CA 96080-9741
Phone (530) 528-2342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW93942CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Glass Mental Health Inc Mental Health CurrentSince Oct 20, 2025 Accepting new patients
Apex Therapy Group, a Marriage and Family Therapy Corporation PastSince Jan 1, 2021 Accepting new patients

Locations

7420 E Camelback Rd
Ste 101
Scottsdale, AZ 85251
Phone (480) 256-2605

Organizations & group practices 3

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1184973703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 E SUNRISE DR UNIT 5105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500864",
            "telephone_number": "310-895-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 SEPULVEDA BLVD UNIT 210",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033934",
            "telephone_number": "424-218-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW93942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.