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ANNA BREAISHA MAYES LCMHC
NPI 1699320564
Counselor - Mental Health in Charlotte, NC

Active since August 07, 2019PECOS Enrolled
4412 PARK RD STE B, CHARLOTTE, NC 28209(980) 217-6901 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2023, Aug 7, 2019 (2 updates tracked since 2019).

About Anna Breaisha Mayes Lcmhc NPPES

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

ANNA BREAISHA MAYES LCMHC (NPI 1699320564) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (15081) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1699320564
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANNA BREAISHA MAYESCredential: LCMHC
Location Address4412 PARK RD STE BCharlotte, NC 28209-3130
Mailing AddressPo Box 748465Atlanta, GA 30374-8465 · (855) 284-7483
Phone(980) 217-6901
Sole ProprietorYes
Enumeration DateAugust 7, 2019
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1699320564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in NC · 15081✔ Licensed in NC · A1508
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License A15081 (NC)
4412 PARK RD STE B, Charlotte, NC 28209
Open in Google Maps ↗

Secondary Practice Location 1

Location 1204 Muirs Chapel Rd Ste 305Greensboro, NC 27410-6176 · Phone (336) 542-2884 · Fax (336) 542-2885

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anna Breaisha Mayes Lcmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Anna Mayes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Wellness Center
87 mi
Community/Behavioral Health
2311 W CONE BLVD STE 223
Greensboro, NC 27408
  • Reassigned Medicare billing, North Carolina enrollment
  • 12 clinicians in this Medicare group
NPI 1316651490 (336) 542-2884

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 7

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

JOSEPHINE ANN LOUISE RANA LCSW
Social Worker (Clinical)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Mecklenburg County (855) 284-7483
JAIMIE BROWN LCSW
Social Worker (Clinical)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Mecklenburg County (855) 675-4144
SARAH ZYCH MSW
Social Worker (Clinical)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Mecklenburg County (855) 675-4144
ERICKA GENESIS JARVIS M.S., LCMHC
Counselor (Mental Health)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Mecklenburg County (631) 416-1319
DIANE YOLANDE BURKE
Counselor (Mental Health)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Mecklenburg County (980) 217-6901
MR. WILLIAM TRENT HABEN LCSW
Social Worker (Clinical)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Mecklenburg County (855) 675-4144
JESSICA DANIELLE KEALA WISE DNP, CNM, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4412 PARK RD STE B
CHARLOTTE, NC 28209
Mecklenburg County (617) 379-0496

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 Anna Mayes's NPI number?

The NPI number for Anna Mayes is 1699320564. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Anna Mayes located?

Anna Mayes practices at 4412 Park Rd Ste B, Charlotte, NC 28209. The listed phone number is (980) 217-6901.

What is Anna Mayes's specialty?

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

Is Anna Mayes enrolled in Medicare?

Yes. Anna Mayes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Anna Mayes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anna Mayes reassigns Medicare benefits to Thrive Wellness Center (Greensboro, NC). 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 Anna Mayes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anna Mayes accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource and Cigna Healthcare list Anna Mayes 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 Anna Mayes was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.