Individual provider Active NPI

Jeanette Mayse, PHD, ABPP

  • Counseling Psychologist
  • Pflugerville, TX
National Provider Identifier
1285058123
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
33945 Issued in TX
Practice address
20901 Huckabee BND
Pflugerville, TX 78660-6566
Phone
(979) 777-1479
NPI assigned
Feb 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 33945 TX Primary

Addresses

Primary practice location

20901 Huckabee BND
Pflugerville, TX 78660-6566

Mailing address

PO Box 6273
Round Rock, TX 78683-6273
Phone (979) 777-1479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33945TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanette Mayse, PHD, Abpp, PLLC Counseling CurrentSince Apr 30, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1285058123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6273",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786836273",
            "telephone_number": "979-777-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20901 HUCKABEE BND",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786606566",
            "telephone_number": "979-777-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYSE",
        "first_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "PHD, ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "33945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.