Individual provider Active NPI

Timothy Robert Mayfield, LPC

  • Professional Counselor
  • Paragould, AR
National Provider Identifier
1720319346
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1704290 Issued in AR
Practice address
5301 Linwood Dr Ste C
Paragould, AR 72450-7110
Phone
(870) 600-9001
Fax
(870) 474-8140
NPI assigned
Jan 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1704290 AR Primary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X P1704290 AR

Addresses

Primary practice location

5301 Linwood Dr Ste C
Paragould, AR 72450-7110

Mailing address

5301 Linwood Dr Ste C
Paragould, AR 72450-7110
Phone (870) 600-9001

Other practice location 1

5321 John F Kennedy Blvd
North Little Rock, AR 72116-6777
Phone (501) 646-1812

Other identifiers 1

IdentifierTypeStateIssuer
180360795MedicaidAR

Other names 1

  • Tim Mayfield Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20231220004237 AR Practitioner - Mental Health Counselor 1456708312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Families, Inc of ArkansasGroup PAC ID 9335133669, 44 clinicians

Practice addresses (Care Compare)

1815 Pleasant Grove Rd
Jonesboro, AR 72401-7870
Phone (870) 933-6886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1704290ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bedrock Psychiatry CurrentSince Feb 12, 2026 Accepting new patients
Families, Inc of Arkansas Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1815 Pleasant Grove Rd
Jonesboro, AR 72405
Phone (870) 833-6886

415 N McKinley St
Ste 550
Little Rock, AR 72205
Phone (501) 635-9900

1704 Highway 69 Blvd
Trumann, AR 72472
Phone (870) 483-4003

1425 W Main St
Walnut Ridge, AR 72476
Phone (870) 886-5303

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1720319346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LINWOOD DR STE C",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507110",
            "telephone_number": "870-600-9001",
            "fax_number": "870-474-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LINWOOD DR STE C",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724507110",
            "telephone_number": "870-600-9001",
            "fax_number": "870-474-8140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5321 John F Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721166777",
            "country_code": "US",
            "telephone_number": "501-646-1812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "TIMOTHY",
        "middle_name": "ROBERT",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-21",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1704290",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1704290",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180360795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIM",
            "last_name": "MAYFIELD",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.