SANDRA LOURDES MAYTA LCMHC, NCC
NPI 1730714163
Counselor - Mental Health in Statesville, NC

Q: What is Sandra Mayta's NPI number?

The NPI number for Sandra Mayta is 1730714163. It was assigned to this individual provider in the NPPES registry on March 5, 2020. The provider is also known as Sandra Castillo.

Q: What is Sandra Mayta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sandra Mayta was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 05, 2020PECOS EnrolledAccepts Medicare Assignment

1450 FERN CREEK DRIVE, STATESVILLE, NC 28625(704) 237-4240(704) 821-0844 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2022, Mar 5, 2020 (2 updates tracked since 2020).

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About Sandra Lourdes Mayta Lcmhc, Ncc NPPES

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

SANDRA LOURDES MAYTA LCMHC, NCC (NPI 1730714163) is an individual mental health provider in Statesville, North Carolina, licensed in North Carolina (15608) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1730714163

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSANDRA LOURDES MAYTACredential: LCMHC, NCC

Location Address1450 FERN CREEK DRIVEStatesville, NC 28625

Mailing Address12512 Walden Lea DrHuntersville, NC 28078-2241

Phone(704) 237-4240

Fax(704) 821-0844

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 5, 2020

Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1730714163 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 NC · 15608

1450 FERN CREEK DRIVE, Statesville, NC 28625

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Other Names 1

Former Name (1)Sandra Castillo

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Lourdes Mayta Lcmhc, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890232979

PECOS Enrollment IDI20240807001423

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.

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 Sandra Mayta's NPI number?

The NPI number for Sandra Mayta is 1730714163. It was assigned to this individual provider in the NPPES registry on March 5, 2020. The provider is also known as Sandra Castillo.

Where is Sandra Mayta located?

Sandra Mayta practices at 1450 Fern Creek Drive, Statesville, NC 28625. The listed phone number is (704) 237-4240.

What is Sandra Mayta's specialty?

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

Is Sandra Mayta enrolled in Medicare?

Yes. Sandra Mayta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandra Mayta accept?

Health plans from Blue Cross and Blue Shield of NC list Sandra Mayta 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 Sandra Mayta was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.