Anna Breaisha Mayes, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15081 Issued in NC

Practice address

4412 Park Rd Ste B
Charlotte, NC 28209-3130

Phone

(980) 217-6901

NPI assigned

Aug 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrive Wellness Center

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1316651490

  Professional

  Medicare reassignment NPD
• New Life Counseling Center

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1689058646
  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1699320564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748465",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748465",
            "telephone_number": "855-284-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 PARK RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093130",
            "telephone_number": "980-217-6901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 Muirs Chapel Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274106176",
            "country_code": "US",
            "telephone_number": "336-542-2884",
            "fax_number": "336-542-2885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYES",
        "first_name": "ANNA",
        "middle_name": "BREAISHA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A1508",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A15081",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Adelaide Maybeck, MA
• Chrysten Maydak, MSW, LCSWA
• Kara T Maye, MA, CCC-SLP
• Korrin Maye
• Waverly Mayer
• Brandcace Michelle Mayes
• Jonathan Trent Mayes, CRNA
• Megan McSwain Mayes, FNP
• Kassi Mayfield
• Marissa Alexandria Mayfield, MD

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.