Jameson Michael Mayberry, MA, CADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000355 Issued in IA

Practice address

1520 6TH St SW
Mason City, IA 50401-4820

Phone

(641) 423-4180

Fax

(641) 421-6023

NPI assigned

Jul 27, 2012

Last updated

Jul 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1326394347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 6TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014820",
            "telephone_number": "641-423-4180",
            "fax_number": "641-421-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 6TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014820",
            "telephone_number": "641-423-4180",
            "fax_number": "641-421-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "JAMESON",
        "middle_name": "MICHAEL",
        "credential": "MA, CADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Mathews
• Marlies Elaine Mathis, PHARMD
• William D Matthews, M.D.
• Christina M Maulsby, T-CDAC, MSW
• Lisa May
• Jean McAleer, LISW
• Chad M McCambridge, MD
• Jennifer E McCambridge, PA
• Brenda Sue Lovik McCardle, O.D.
• Kaitlyn Elizabeth McDermitt, PA-C

• Marriage & Family Therapist in Mason City, IA
• Providers in Mason City, IA by specialty
• Marriage & Family Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.