Active NPI
Blyth Mayfield
- Art Therapist
- Sweetwater, TN
National Provider Identifier
1609431816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 210 Railroad St
Sweetwater, TN 37874-3013 - Phone
- (423) 505-3184
- NPI assigned
- May 2, 2019
- Last updated
- May 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | Primary |
Addresses
Primary practice location
210 Railroad St
Sweetwater, TN 37874-3013
Mailing address
391 Broad St NW Ste 201
Cleveland, TN 37311-5039
Other practice location 1
391 Broad St NW # 201
Cleveland, TN 37311-5039
Phone (423) 505-3184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q022498 | Medicaid | TN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | blythe@solomonfamilysolutions.com | Direct | |
| Direct Messaging Address | blythe@solomonfamilysolutions.com | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Proof Counseling Services | Art Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Cleveland, TN
- NPI 1013571884
Art Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556755200000",
"number": "1609431816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 BROAD ST NW STE 201",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373115039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 RAILROAD ST",
"city": "SWEETWATER",
"state": "TN",
"postal_code": "378743013",
"telephone_number": "423-505-3184"
}
],
"practiceLocations": [
{
"address_1": "391 Broad St NW # 201",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TN",
"postal_code": "373115039",
"country_code": "US",
"telephone_number": "423-505-3184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAYFIELD",
"first_name": "BLYTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2019-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q022498",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "blythe@solomonfamilysolutions.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "391 Broad St NW # 201",
"city": "Cleveland",
"state": "TN",
"country_code": "US",
"postal_code": "373115039",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "blythe@solomonfamilysolutions.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "210 Railroad St",
"city": "Sweetwater",
"state": "TN",
"country_code": "US",
"postal_code": "378743013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sweetwater, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.