Individual provider Active NPI

Robert Eugene Mayor II, LMHC

  • Mental Health Counselor
  • Fort Walton Beach, FL
National Provider Identifier
1306385570
Registry record updated Mar 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13492 Issued in FL
Practice address
2004 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1366
Phone
(850) 226-7893
NPI assigned
Feb 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2023

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 MH13492 FL Primary

Addresses

Primary practice location

2004 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1366

Mailing address

2004 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1366
Phone (850) 543-0119

Other practice location 1

1992 Lewis Turner Blvd
Suite 1067, #350
Fort Walton Beach, FL 32547
Phone (850) 543-0119

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
MH13492FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Behavioral Hospital, LLC Past Accepting new patients
Mayor Mental Health, LLC Past Accepting new patients

Organizations & group practices 2

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": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679097600000",
    "number": "1306385570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 LEWIS TURNER BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471366",
            "telephone_number": "850-543-0119",
            "fax_number": "850-532-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 LEWIS TURNER BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471366",
            "telephone_number": "850-226-7893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1992 Lewis Turner Blvd",
            "address_2": "Suite 1067, #350",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "32547",
            "country_code": "US",
            "telephone_number": "850-543-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYOR",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_suffix": "II",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2023-03-18",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.