Active NPI
Anne Elizabeth Mayo
- Professional Counselor
- Morton, IL
National Provider Identifier
1598343238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 208 S 1St Ave
Morton, IL 61550-2044 - Phone
- (309) 258-5713
- NPI assigned
- Apr 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
208 S 1St Ave
Morton, IL 61550-2044
Mailing address
208 S 1St Ave
Morton, IL 61550-2044
Phone (309) 258-5713
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Morton |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1598343238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 S 1ST AVE",
"city": "MORTON",
"state": "IL",
"postal_code": "615502044",
"telephone_number": "309-258-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S 1ST AVE",
"city": "MORTON",
"state": "IL",
"postal_code": "615502044",
"telephone_number": "309-258-5713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYO",
"first_name": "ANNE",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-01",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Morton",
"affiliation": "N",
"address_1": "208 S 1st Ave",
"city": "Morton",
"state": "IL",
"country_code": "US",
"postal_code": "615502044",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.