Individual provider Active NPI

Jordan Mayfield, LSCSW LCAC

  • Social Worker
  • Lawrence, KS
National Provider Identifier
1407256290
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8426 Issued in KS
Practice address
3320 Peterson Rd Family Psychological Service LLC
Suite 104
Lawrence, KS 66049
Phone
(785) 371-1414
Fax
(785) 371-4519
NPI assigned
Aug 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8426 KS Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 835 KS

Addresses

Primary practice location

3320 Peterson Rd Family Psychological Service LLC
Suite 104
Lawrence, KS 66049

Mailing address

3320 Peterson Rd Family Psychological Service LLC
Suite 104
Lawrence, KS 66049
Phone (785) 371-1414

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
8426KSMDSocial Worker
835KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Family Psychological Services LLC CurrentSince Nov 13, 2022 Accepting new patients

Locations

3320 Peterson Rd
Ste 104
Lawrence, KS 66049
Phone (785) 371-1414

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": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1407256290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICE LLC",
            "address_2": "SUITE 104",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-371-1414",
            "fax_number": "785-371-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICE LLC",
            "address_2": "SUITE 104",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-371-1414",
            "fax_number": "785-371-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "JORDAN",
        "credential": "LSCSW LCAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "8426",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "835",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.