SUSAN DAWN MAYBERRY
NPI 1861946071
Counselor - Mental Health in Council Bluffs, IA

Active since August 05, 2016PECOS EnrolledAccepts Medicare Assignment
801 HARMONY ST STE 302, COUNCIL BLUFFS, IA 51503(712) 328-2609 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Susan Dawn Mayberry NPPES

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

SUSAN DAWN MAYBERRY (NPI 1861946071) is an individual mental health provider in Council Bluffs, Iowa, licensed in Nebraska (2243) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1861946071
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN DAWN MAYBERRY
Location Address801 HARMONY ST STE 302Council Bluffs, IA 51503-3106
Mailing Address117 Valley StGlenwood, IA 51534-1024 · (712) 527-1064
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 5, 2016
Last NPPES UpdateNovember 14, 2023
NPPES CertifiedNovember 14, 2023
✔ NPI 1861946071 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 NE · 2243✔ Licensed in IA · 099212
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20R002 (IA), 1314 (NE)
801 HARMONY ST STE 302, Council Bluffs, IA 51503

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Dawn Mayberry 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 ID5890146807
PECOS Enrollment IDI20240103004077, I20250304002162
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 Susan Mayberry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
800 MERCY DR
Council Bluffs, IA 51503
  • Reassigned Medicare billing, Iowa and Nebraska enrollments
  • Also billed through NPI 1033288923 (Nebraska)
  • 53 clinicians in this Medicare group

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 9

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

Nurse Practitioner (Psychiatric/Mental Health)
801 HARMONY ST STE 302
COUNCIL BLUFFS, IA 51503
Counselor (Mental Health)
801 HARMONY ST STE 302
COUNCIL BLUFFS, IA 51503
Nurse Practitioner (Psychiatric/Mental Health)
801 HARMONY ST STE 302
COUNCIL BLUFFS, IA 51503
Counselor (Mental Health)
801 HARMONY ST STE 302
COUNCIL BLUFFS, IA 51503
Nurse Practitioner (Psychiatric/Mental Health)
801 HARMONY ST STE 302
COUNCIL BLUFFS, IA 51503
Social Worker (Clinical)
801 HARMONY ST STE 302
COUNCIL BLUFFS, IA 51503
Nurse Practitioner (Psychiatric/Mental Health)
801 HARMONY ST STE 302
COUNCIL BLUFFS, IA 51503
Nurse Practitioner (Psychiatric/Mental Health)
801 HARMONY ST STE 302
COUNCIL BLUFFS, IA 51503

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 Susan Mayberry's NPI number?

The NPI number for Susan Mayberry is 1861946071. It was assigned to this individual provider in the NPPES registry on August 5, 2016.

Where is Susan Mayberry located?

Susan Mayberry practices at 801 Harmony St Ste 302, Council Bluffs, IA 51503. The listed phone number is (712) 328-2609.

What is Susan Mayberry's specialty?

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

Is Susan Mayberry enrolled in Medicare?

Yes. Susan Mayberry 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.

Which organization bills Medicare for Susan Mayberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Mayberry reassigns Medicare benefits to Alegent Creighton Health (Council Bluffs, IA). 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 Susan Mayberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Mayberry accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Wellmark Health Plan of Iowa, Inc. list Susan Mayberry 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 Susan Mayberry was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.