TYLEESHIA MAYO LCPC
NPI 1124899240
Counselor - Mental Health in Lanham, MD
About Tyleeshia Mayo Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLEESHIA MAYO LCPC (NPI 1124899240) is an individual mental health provider in Lanham, Maryland, licensed in Maryland (LC17414) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyleeshia Mayo Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tyleeshia Mayo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lanham, MD 20706
- Reassigned Medicare billing, District of Columbia enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LANHAM, MD 20706
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tyleeshia Mayo's NPI number?
The NPI number for Tyleeshia Mayo is 1124899240. It was assigned to this individual provider in the NPPES registry on January 9, 2024.
Where is Tyleeshia Mayo located?
Tyleeshia Mayo practices at 4640 Forbes Blvd, Lanham, MD 20706. The listed phone number is (202) 656-5048.
What is Tyleeshia Mayo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Tyleeshia Mayo enrolled in Medicare?
Yes. Tyleeshia Mayo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tyleeshia Mayo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyleeshia Mayo reassigns Medicare benefits to Imind Health LLC (Lanham, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyleeshia Mayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tyleeshia Mayo was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tyleeshia Mayo, LCPC · NPI 1124899240
Mental Health provider in Lanham, Maryland. Individual provider, active in the CMS NPPES registry since January 9, 2024.
## Identity
- **NPI:** 1124899240 (Entity type: Individual)
- **Enumerated:** January 9, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LC17414 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4640 FORBES BLVD, Lanham, MD 20706-4323
- **Phone:** (202) 656-5048
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Imind Health LLC (NPI 1265921647, Lanham, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** January 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124899240) · Data from the CMS NPPES public registry.