Individual provider Active NPI

Jacquelyn Margaret Mayowski, MS, LLPC

  • Mental Health Counselor
  • South Lyon, MI
National Provider Identifier
1376827634
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401012620 Issued in MI
Practice address
125 W Lake St
South Lyon, MI 48178-1303
Phone
(248) 613-1261
Fax
(248) 671-3446
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Mental Health Counselor 101YM0800X 6401012620 MI Primary

Addresses

Primary practice location

125 W Lake St
South Lyon, MI 48178-1303

Mailing address

125 W Lake St
South Lyon, MI 48178-1303
Phone (248) 613-1261

Other names 1

  • Jacquelyn Hoag Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1128 Chestnut LN
South Lyon, MI 48178-1897

47892 Jake LN
Canton, MI 48187-5837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6401012620MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Be You Therapy LLC Mental Health Current Accepting new patients

Locations

12660 10 Mile Rd
South Lyon, MI 48178
Phone (248) 348-1131

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": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1376827634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W LAKE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781303",
            "telephone_number": "248-613-1261",
            "fax_number": "248-671-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W LAKE ST",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781303",
            "telephone_number": "248-613-1261",
            "fax_number": "248-671-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYOWSKI",
        "first_name": "JACQUELYN",
        "middle_name": "MARGARET",
        "credential": "MS, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401012620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "HOAG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in South Lyon, MI

Sources for this page

Verify at the official NPI Registry.