TITUS SHANE MAYBERRY LPC, MA
NPI 1295213619
Counselor - Mental Health in Jefferson City, MO

Active since July 30, 2018
1905 STADIUM BLVD, JEFFERSON CITY, MO 65109(888) 403-1071 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2019, Jul 30, 2018 (2 updates tracked since 2018).

About Titus Shane Mayberry Lpc, Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TITUS SHANE MAYBERRY LPC, MA (NPI 1295213619) is an individual mental health provider in Jefferson City, Missouri, licensed in Iowa (118627) and active in the NPI registry since July 2018. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295213619
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTITUS SHANE MAYBERRYCredential: LPC, MA
Location Address1905 STADIUM BLVDJefferson City, MO 65109
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Enumeration DateJuly 30, 2018
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
NPI 1295213619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IA · 118627
1905 STADIUM BLVD, Jefferson City, MO 65109

Secondary Practice Locations 2

Location 189 McCrory DrCamdenton, MO 65020 · Phone (573) 525-7071
Location 2119 N Benton StWaynesville, MO 65583-2501 · Phone (573) 433-2833

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1905 STADIUM BLVD
JEFFERSON CITY, MO 65109
Counselor (Professional)
1905 STADIUM BLVD
JEFFERSON CITY, MO 65109
Counselor (Professional)
1905 STADIUM BLVD
JEFFERSON CITY, MO 65109
Counselor (Mental Health)
1905 STADIUM BLVD
JEFFERSON CITY, MO 65109
Counselor (Professional)
1905 STADIUM BLVD
JEFFERSON CITY, MO 65109
Social Worker
1905 STADIUM BLVD
JEFFERSON CITY, MO 65109
Social Worker
1905 STADIUM BLVD
JEFFERSON CITY, MO 65109
Counselor (Mental Health)
1905 STADIUM BLVD
JEFFERSON CITY, MO 65109

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 Titus Mayberry's NPI number?

The NPI number for Titus Mayberry is 1295213619. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Where is Titus Mayberry located?

Titus Mayberry practices at 1905 Stadium Blvd, Jefferson City, MO 65109. The listed phone number is (888) 403-1071.

What is Titus Mayberry's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Titus Mayberry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Titus Mayberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Titus Mayberry was last updated on October 28, 2025. 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.