Individual provider Active NPI

Stephanie Mayse

  • Professional Counselor
  • Columbia, MO
National Provider Identifier
1972324788
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2019014265
Practice address
3005A Chinaberry Dr
Columbia, MO 65201-3550
Phone
(573) 874-8818
Fax
(573) 874-8818
NPI assigned
Oct 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 2019014265 Primary

Addresses

Primary practice location

3005A Chinaberry Dr
Columbia, MO 65201-3550

Mailing address

3005A Chinaberry Dr
Columbia, MO 65201-3550
Phone (573) 874-8818

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

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates CurrentSince Aug 5, 2026 Accepting new patients
Melissa M Williams Licensed Counselor Professional PastSince Oct 27, 2024 Accepting new patients

Locations

3005A Chinaberry Dr
Columbia, MO 65201
Phone (573) 874-8818

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": "1729641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1972324788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005A CHINABERRY DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013550",
            "telephone_number": "573-874-8818",
            "fax_number": "573-874-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005A CHINABERRY DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013550",
            "telephone_number": "573-874-8818",
            "fax_number": "573-874-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYSE",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "2019014265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.