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TIMOTHY ROBERT MAYFIELD LPC NPI 1720319346


NPI Information

NPI: 1720319346
Provider Name: TIMOTHY ROBERT MAYFIELD, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1815 PLEASANT GROVE RD
JONESBORO, AR
ZIP 72401
Phone: (870) 933-6886
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Timothy Robert Mayfield, LPC is a professional counselor in Jonesboro, AR. Timothy Robert Mayfield, LPC NPI is 1720319346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1815 PLEASANT GROVE RD
JONESBORO, AR
ZIP 72401-870
Phone: (870) 933-6886
Fax: (870) 933-9395

The enumeration date for this NPI number is 1/21/2010 and was last updated on 5/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YM0800XCounselorMental HealthP1704290ARKANSASNo
3101YP2500XCounselorProfessionalP1704290ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1180360795MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.