Individual provider Active NPI

Jessica Mayo, LMHC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1295357622
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13918 Issued in FL
Practice address
3401 N 12TH Ave
Pensacola, FL 32503-4008
Phone
(850) 483-0023
NPI assigned
May 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2020

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 MH13918 FL Primary

Addresses

Primary practice location

3401 N 12TH Ave
Pensacola, FL 32503-4008

Mailing address

2047 Joshua Dr
Cantonment, FL 32533-4551
Phone (850) 748-1047

Other practice location 1

2047 Joshua Dr
Cantonment, FL 32533-4551
Phone (850) 748-1047

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

State licenses

LicenseStateTypeSpecialty
MH13918FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapy Service, LLC Mental Health CurrentSince Aug 14, 2022 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": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1295357622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 JOSHUA DR",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325334551",
            "telephone_number": "850-748-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034008",
            "telephone_number": "850-483-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2047 Joshua Dr",
            "address_purpose": "LOCATION",
            "city": "Cantonment",
            "state": "FL",
            "postal_code": "325334551",
            "country_code": "US",
            "telephone_number": "850-748-1047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYO",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.