Active NPI
Leticia Mayes, LPC
- Professional Counselor
- Waukesha, WI
National Provider Identifier
1649984790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7529-125
- Practice address
- W250S4367 Center Rd
Waukesha, WI 53189-7808 - Phone
- (920) 202-2218
- NPI assigned
- Jan 12, 2023
- Last updated
- Jan 12, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7529-125 | WI | Primary |
Addresses
Primary practice location
W250S4367 Center Rd
Waukesha, WI 53189-7808
Mailing address
W250S4367 Center Rd
Waukesha, WI 53189-7808
Phone (920) 202-2218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7529-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1649984790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W250S4367 CENTER RD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531897808",
"telephone_number": "920-202-2218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W250S4367 CENTER RD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531897808",
"telephone_number": "920-202-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYES",
"first_name": "LETICIA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "7529-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.