Individual provider Active NPI

Taneshia Gail Mayfield, LPC

  • Professional Counselor
  • Danville, VA
National Provider Identifier
1760208904
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701014215 Issued in VA
Practice address
480 Mount Cross Rd
Danville, VA 24540-4000
Phone
(833) 510-4357
NPI assigned
Dec 3, 2024
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701014215 VA Primary

Addresses

Primary practice location

480 Mount Cross Rd
Danville, VA 24540-4000

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other names 1

  • Taneshia Gail Kirby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260205002760 VA Practitioner - Mental Health Counselor 0648759118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Nurse Practitioner PLLCGroup PAC ID 7113329517, 8 clinicians

Practice addresses (Care Compare)

4360 Shore Dr
Suite 101
Virginia Beach, VA 23455-2994
Phone (757) 251-0879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701014215VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Your Nurse Practitioner PLLC CurrentSince Dec 17, 2025 Accepting new patients
Epic Health Partners, LLC PastSince Dec 1, 2024 Accepting new patients

Locations

4360 Shore Dr
Ste 101
Virginia Beach, VA 23455
Phone (757) 251-0879

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": "1733184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1760208904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MOUNT CROSS RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404000",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "TANESHIA",
        "middle_name": "GAIL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-03",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701014215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANESHIA",
            "last_name": "KIRBY",
            "middle_name": "GAIL",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.