Roshell D Mayberry

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

9337 S 94TH East Ave
Tulsa, OK 74133-5642

Phone

(918) 237-1141

NPI assigned

Sep 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Roshell D Mayberry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1558557710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9337 S 94TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335642",
            "telephone_number": "918-237-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9337 S 94TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335642",
            "telephone_number": "918-237-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "ROSHELL",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSHELL",
            "last_name": "MAYBERRY",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• May'S Drug Stores, Inc.
• Brittany Mayall
• Dawn Alene Mayberry, D.O.
• Morgan Mayberry
• Paul A Mayberry
• Taleya Mayberry
• Heidi Leigh Mayer, MSW
• Melissa Mayer, RBT
• Renae Lyne Mayer, M.D.
• Chanyce Mayes

• Professional Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.