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LISA MAYO LPC
NPI 1720424054
Counselor - Professional in Augusta, GA

Active since May 14, 2013PECOS Enrolled
3643 WALTON WAY EXT, AUGUSTA, GA 30909(706) 364-1404(706) 364-1419 Get Directions Write a Review

NPPES record last updated: May 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Mayo Lpc NPPES

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

LISA MAYO LPC (NPI 1720424054) is an individual professional provider in Augusta, Georgia, licensed in Georgia (LPC006948) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1720424054
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA MAYOCredential: LPC
Location Address3643 WALTON WAY EXTAugusta, GA 30909-4507
Mailing Address3643 Walton Way ExtAugusta, GA 30909-4507 · (706) 364-1404 · Fax (706) 364-1419
Phone(706) 364-1404
Fax(706) 364-1419
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMay 14, 2013
✔ NPI 1720424054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC006948
3643 WALTON WAY EXT, Augusta, GA 30909
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Mayo Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799273215
PECOS Enrollment IDI20251024002334
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.

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.

DR. LOGAN NALLEY III DMD
Dentist (General Practice)
3643 WALTON WAY EXT, BLDG. 1
AUGUSTA, GA 30909
Richmond County (706) 733-8641
HILLARY HERRING M.ED.
Counselor (Professional)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
JEANNE MARIE ROBENOLT
Registered Nurse
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
REGINALD ULCENA BS
Counselor (Mental Health)
3643 WALTON WAY EXT, BUILDING 4
AUGUSTA, GA 30909
Richmond County (706) 364-1404
CYNDI S TAYLOR LPC
Counselor (Professional)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Richmond County (706) 364-1404
GEORGIA DENTAL ALLIANCE OF AUGUSTA
Dentist (General Practice)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Richmond County (404) 410-1340
DR. AUBREY LEE MOORE III PH.D.
Psychologist
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Richmond County (706) 729-9595
ANGELICA MARIA LA LUZ LCSW
Social Worker (Clinical)
3643 WALTON WAY EXT
AUGUSTA, GA 30909
Richmond County (706) 364-1404

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 Lisa Mayo's NPI number?

The NPI number for Lisa Mayo is 1720424054. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Lisa Mayo located?

Lisa Mayo practices at 3643 Walton Way Ext, Augusta, GA 30909. The listed phone number is (706) 364-1404.

What is Lisa Mayo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lisa Mayo enrolled in Medicare?

Yes. Lisa Mayo is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Mayo accept?

Health plans from UnitedHealthcare list Lisa Mayo 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 Lisa Mayo was last updated on May 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.