Kelly Darlene Mayer, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008507-1 Issued in NY

Practice address

6 N West St Ste 5
Homer, NY 13077-1068

Phone

(607) 662-4141

NPI assigned

Mar 31, 2018

Last updated

Oct 22, 2018By the provider in NPPES

Sex

Female

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kelly D. Mayer LMHC PLLC

  dba Homer Counseling and Wellness

  • Mental Health Counselor
  • Homer, NY
  • NPI 1588135479
  Authorized official Same address or phone
• Tompkins Community Counseling, LCSW, PLLC

  • Mental Health Counselor
  • Ithaca, NY
  • NPI 1952908113
  NPD (past)

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

{
    "created_epoch": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1528564481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N WEST ST STE 5",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771068",
            "telephone_number": "607-662-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N WEST ST STE 5",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771068",
            "telephone_number": "607-662-4141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3070 Belgium Rd",
            "address_purpose": "LOCATION",
            "city": "Baldwinsville",
            "state": "NY",
            "postal_code": "130279546",
            "country_code": "US",
            "telephone_number": "315-857-3035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYER",
        "first_name": "KELLY",
        "middle_name": "DARLENE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008507-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Lasda, LMT
• Frederick Willis Lutz
• Heather M Malchak, AGNP
• Alicia B Maroney, M.S.W., LCSW
• Frederick Marshall
• Stacey Marie McCall-Bush, LMSW
• McGraw Central School District
• Mindful Harmony LLC (Main Street Acupuncture)
• Robert P Morris, MD
• Kelly Elizabeth Noble, M.D.

• Mental Health Counselor in Homer, NY
• Providers in Homer, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.