Active NPI
John Benjamin Mayo, LMHC
- Professional Counselor
- Tampa, FL
National Provider Identifier
1801181300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH 0411
- Practice address
- 1311 N Westshore Blvd
Suite 302
Tampa, FL 33607-4602 - Phone
- (813) 490-5490
- Fax
- (813) 490-5495
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- No
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 | MH 0411 | FL | Primary |
Addresses
Primary practice location
1311 N Westshore Blvd
Suite 302
Tampa, FL 33607-4602
Mailing address
1311 N Westshore Blvd
Suite 302
Tampa, FL 33607-4602
Phone (813) 490-5490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 767153900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 0411 | FL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1801181300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 N WESTSHORE BLVD",
"address_2": "SUITE 302",
"city": "TAMPA",
"state": "FL",
"postal_code": "336074602",
"telephone_number": "813-490-5490",
"fax_number": "813-490-5495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 N WESTSHORE BLVD",
"address_2": "SUITE 302",
"city": "TAMPA",
"state": "FL",
"postal_code": "336074602",
"telephone_number": "813-490-5490",
"fax_number": "813-490-5495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYO",
"first_name": "JOHN",
"middle_name": "BENJAMIN",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH 0411",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "767153900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.