Grace Mayer
Individual provider Active NPI Mental Health Counselor · Broadview, IL
NPI 1609320886 · NPPES record last updated Aug 5, 2016
Key facts
- NPI
- 1609320886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1820 S 25TH Ave
Broadview, IL 60155-2864 - Phone
- (708) 681-0073
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Grow Healthcare Group PA
Baycare Behavioral Health Inc
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
8132 King Helie Blvd
New Port Richey, FL 34653-1435
Phone (727) 834-3959
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230925001491 | FL | Practitioner - Clinical Social Worker | 5193179158 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Behavioral Health, Inc | Current |
Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
| Baycare Behavioral Health Inc. | Current |
Accepting new patients | |
| Baycare Behavioral Health Inc. | Current | Accepting new patients | |
| Behavioral Health Management Services, Inc. | Past | Accepting new patients | |
| Baycare Behavioral Health Inc. | Past | Accepting new patients | |
| Baycare Behavioral Health Inc. | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8132 King Helie Blvd
New Port Richey, FL 34653
Phone (727) 834-3959
7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200
7809 Massachusetts Ave
New Prt Rchy, FL 34653
Phone (727) 841-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1820 S 25TH Ave
Broadview, IL 60155-2864
Mailing address
1820 S 25TH Ave
Broadview, IL 60155-2864
Phone (708) 681-0073
Other providers in Broadview, IL
- Luxottica of America Inc
- Luxottica of America Inc
- Maria Andrea Marchetti
- Siearra Nova Marsh
- Ashley Mathew
- Jean Mays
- Tracy Jean Mesner
- Mary Michael
- Jada Morrow
- Moving Through Life Therapy Solutions PLLC
All providers in Broadview, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.