Active NPI
Nancy E Mayer, LPC
- Professional Counselor
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61238
- Practice address
- 3800 Paluxy Drive
Ste 240
Tyler, TX 75703-1667 - Phone
- (903) 283-8729
- Fax
- (888) 454-9083
- NPI assigned
- Jul 3, 2014
- Last updated
- Oct 8, 2015
- 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 | 61238 | TX | Primary |
Addresses
Primary practice location
3800 Paluxy Drive
Ste 240
Tyler, TX 75703-1667
Mailing address
1507 Belmont Dr
Tyler, TX 75701-3222
Phone (903) 283-8729
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61238 | Other | TX | STATE LICENSE |
Other names 1
- Nancy Grubb
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
215 Winchester Dr
Suite 107
Tyler, TX 75701-8801
Phone (903) 805-9188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61238 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy G. Mayer | Professional | Current | Accepting new patients |
| Bridge Therapeutic Services PLLC | Professional | Past | Accepting new patients |
Locations
215 Winchester Dr
Ste 107
Tyler, TX 75701
Phone (903) 343-6215
3800 Paluxy Dr
Ste 240
Tyler, TX 75703
Phone (903) 283-8729
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1699181198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 BELMONT DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757013222",
"telephone_number": "903-283-8729",
"fax_number": "888-454-9083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 PALUXY DRIVE",
"address_2": "STE 240",
"city": "TYLER",
"state": "TX",
"postal_code": "757031667",
"telephone_number": "903-283-8729",
"fax_number": "888-454-9083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYER",
"first_name": "NANCY",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-03",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "61238",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "GRUBB",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.