Mary Jo Ayllon, M.A.
Individual provider Active NPI Mental Health Counselor · Lexington, NC
NPI 1700108933 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1700108933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 18576 (NC)
- Practice address
- 158 Sawgrass LN N
Lexington, NC 27295-5190 - Phone
- (417) 388-2963
- NPI assigned
- Feb 15, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18576 | NC | MD | Dermatology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18576 | NC | Yes |
Addresses
Primary practice location
158 Sawgrass LN N
Lexington, NC 27295-5190
Mailing address
158 Sawgrass LN N
Lexington, NC 27295-5190
Phone (417) 388-2963
Other providers in Lexington, NC
- Terry V Arnold
- Donna Marie Ashworth I
- Sydney Griffin Atchley
- Kenneth Glenn Auman
- Melissa Stephanie Ayala
- Chasity Rose Bailey
- Susan Desiree Bailey
- James Harlie Baldwin Jr.
- Mutiat B Bamgbala
- Tony Banjoko
All providers in Lexington, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.