Shellby Taylor Mayo, LPC
NPI 1750024469ActiveIndividual· Counselor, Professional· Bullhead City, AZ
Counselor, Professional (LPC) with Sondermind Provider Network LLC and 1 other group, practicing in Bullhead City, Arizona. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1750024469 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Apr 20, 2022 |
| Last updated in NPPES | Feb 28, 2024 |
| Certified by provider | Feb 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC-20485 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AZ) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical groups
- Sondermind Provider Network LLCColumbus, OH · 1,339 clinicians
- Southwest Behavioral Health Services IncBuckeye, AZ · 54 clinicians
Other Counselor, Professional providers in Bullhead City
- 1164603239
- 1255840229
- 1336157817