Mellonese Mayfield, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13067 Issued in FL

Practice address

1220 Willis Ave
Daytona Beach, FL 32114-2810

Phone

(386) 236-3165

NPI assigned

Feb 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mellonese Sampson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mellonese.sampsonmayfield.p1@direct.smahealthcare.nextgenshare.com

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1689098873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CARDINAL VLG",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327204327",
            "telephone_number": "561-310-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 WILLIS AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142810",
            "telephone_number": "386-236-3165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12015 Shadowbrook Ln",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328288299",
            "country_code": "US",
            "telephone_number": "561-310-8597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "MELLONESE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELLONESE",
            "last_name": "SAMPSON",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jill G Mauldin, MD
• Maxim Healthcare Services, Inc.
• Eric Shane Maxwell
• Quanita J May, MT
• Kimberly Ann Mayer
• William Ross Mayfield, M.D.
• Mayhugh Drugs Inc (Quipt Home Medical)
• Stephanie Maynard
• Janet M Mayo, NP-C
• Camille Mazal, M.D.

• Mental Health Counselor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.