Amanda F Mayo, MS, NCC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC012864 Issued in GA

Practice address

309 Pirkle Ferry Rd Ste C200
Cumming, GA 30040-2550

Phone

(770) 653-4531

NPI assigned

Mar 26, 2022

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Mayo Therapeutic Interventions LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cumming, GA
  • NPI 1790527885
  NPD Authorized official
• Align Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cumming, GA
  • NPI 1659096287

  Professional

  NPD (past)
• The Counseling Group Angie Rink LLC

  • Professional Counselor
  • Cumming, GA
  • NPI 1568150357
  NPD (past)

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1558011189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 GABRIEL CT",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066856",
            "telephone_number": "770-653-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PIRKLE FERRY RD STE C200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402550",
            "telephone_number": "770-653-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "AMANDA",
        "middle_name": "F",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012864",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxfield Medical LLC
• Maxx Solutions Brokerage, Inc
• Amanda Mayfield
• Mayo Therapeutic Interventions LLC
• Mayo Therapeutic Interventions LLC
• Jesse Ray Mayo, FNP-C
• Stephen Mayo, DPT
• Dylan McCarter, ATC
• Timothy Patrick McCarthy, MD
• Kristen McCaskill, PTA

• Professional Counselor in Cumming, GA
• Providers in Cumming, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.