Amy-Ann Mayberg, M.A.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

4501 Lakeview Dr
Edina, MN 55424-1517

Phone

(952) 926-1444

NPI assigned

Apr 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 5, 2024 through Feb 5, 2028

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": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1508252727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 LAKEVIEW DR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241517",
            "telephone_number": "952-926-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 LAKEVIEW DR",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241517",
            "telephone_number": "952-926-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERG",
        "first_name": "AMY-ANN",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-14",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J. Maurer, M.D.
• Travis Jared Mauzy, DC
• Kristi Maxwell, DPT
• Kate Richards May, MD
• Ruby May
• Richard L. Mayfield, D.C.
• Cynthia Mae Mayorga, RN, CNP
• Elizabeth Ann Mayotte, OT
• Michael Joseph Maywood, MD
• Noelle M Maze, R.N., M.A., C-A.N.P

• Counselor in Edina, MN
• Providers in Edina, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.