KELLY ANNE MAYBERRY
NPI 1841080421
Counselor - Mental Health in Massapequa, NY

Q: What is Kelly Mayberry's NPI number?

The NPI number for Kelly Mayberry is 1841080421. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Q: What is Kelly Mayberry'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 Kelly Mayberry was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 08, 2025

170A N OAK ST, MASSAPEQUA, NY 11758(516) 404-8692 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Anne Mayberry NPPES

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

KELLY ANNE MAYBERRY (NPI 1841080421) is an individual mental health provider in Massapequa, New York, licensed in New York (016025) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1841080421

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKELLY ANNE MAYBERRY

Location Address170A N OAK STMassapequa, NY 11758-3047

Mailing Address170a N Oak StMassapequa, NY 11758-3047 · (516) 404-8692

Phone(516) 404-8692

Sole ProprietorYes

Enumeration DateMay 8, 2025

NPPES CertifiedMay 6, 2025

✔ NPI 1841080421 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

License✔ Licensed in NY · 016025

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 38714 (NY)

170A N OAK ST, Massapequa, NY 11758

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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 Kelly Mayberry's NPI number?

The NPI number for Kelly Mayberry is 1841080421. It was assigned to this individual provider in the NPPES registry on May 8, 2025.

Where is Kelly Mayberry located?

Kelly Mayberry practices at 170A N Oak St, Massapequa, NY 11758. The listed phone number is (516) 404-8692.

What is Kelly Mayberry's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Mayberry was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.