SALLY MAYO LPC
NPI 1336724624
Counselor - Professional in Austin, TX
About Sally Mayo Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SALLY MAYO LPC (NPI 1336724624) is an individual professional provider in Austin, Texas, licensed in Texas (79953) and active in the NPI registry since March 2021. She has opted out of Medicare through May 13, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Sally Mayo Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2024 through May 13, 2028.
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 Sally Mayo's NPI number?
The NPI number for Sally Mayo is 1336724624. It was assigned to this individual provider in the NPPES registry on March 17, 2021.
Where is Sally Mayo located?
Sally Mayo practices at 4411 Spicewood Springs Rd Apt 1103, Austin, TX 78759. The listed phone number is (512) 750-3323.
What is Sally Mayo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Sally Mayo enrolled in Medicare?
No. Sally Mayo has opted out of Medicare through May 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Sally Mayo was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Sally Mayo, LPC · NPI 1336724624
Professional provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since March 17, 2021.
## Identity
- **NPI:** 1336724624 (Entity type: Individual)
- **Enumerated:** March 17, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 79953 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4411 SPICEWOOD SPRINGS RD APT 1103, Austin, TX 78759-8573
- **Phone:** (512) 750-3323
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 13, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336724624) · Data from the CMS NPPES public registry.