Tyreese Mayo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC014490 Issued in PA

Practice address

7191 Ruskin LN
Upper Darby, PA 19082-5022

Phone

(302) 465-8552

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• May You Be Empowered Therapeutic Services

  • Adolescent and Children Mental Health Clinic/Center
  • Darby, PA
  • NPI 1316676836
  NPD Authorized official

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1235878091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 RUSKIN LN",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190825022",
            "telephone_number": "302-465-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7191 RUSKIN LN",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190825022",
            "telephone_number": "302-465-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "TYREESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC014490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tymayo86@outlook.com",
            "affiliation": "N",
            "endpointDescription": "outlook",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7191 Ruskin Ln",
            "city": "Upper Darby",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190825022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Satish Marisiddaiah, DDS
• Roland Tong Mark, D.D.S.
• Marvel Speciality Care Services Inc
• Marvelous Home Care Services Inc
• Mary Healthcare Services, LLC.
• Juliet Mbabazi
• Janine McFadden
• Wendy McLean, MA BCBA LBS
• Briana McNeil, PT, DPT
• Taylor McNeil

• Professional Counselor in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.