Individual provider · Type 1 NPI

Titus Shane Mayberry, LPC, MA

Mental Health Counselor · Jefferson City, MO

NPI number 1295213619 Active

Practice location

1905 Stadium Blvd
Jefferson City, MO 65109

Call (888) 403-1071 Map

Mailing address

1800 Community
Clinton, MO 64735-8804

Other practice locations

  • 119 N Benton St, Waynesville, MO 65583-2501 · (573) 433-2833
  • 89 Mccrory Dr, Camdenton, MO 65020 · (573) 525-7071

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X118627 (IA)

Mental Health Counselor: Definition to come...

25 other providers at this address

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About NPI 1295213619

Titus Shane Mayberry, LPC, MA's National Provider Identifier is 1295213619, issued on Jul 30, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jefferson City, MO. The record was last updated on Oct 28, 2025.