Active NPI
Jerrica Nicole Maxey
- Professional Counselor
- Longview, TX
National Provider Identifier
1033046065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 98406
- Practice address
- 705 E Marshall Ave Ste 5003
Longview, TX 75601-5530 - Phone
- (903) 470-7117
- NPI assigned
- May 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 98406 | TX | Primary |
Addresses
Primary practice location
705 E Marshall Ave Ste 5003
Longview, TX 75601-5530
Mailing address
419 Margie Bush Rd
Hallsville, TX 75650-7701
Phone (903) 452-0340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98406 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Era Therapeutic Counseling Center, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Case Management Agency
- Tyler, TX
- NPI 1841982808
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1033046065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 MARGIE BUSH RD",
"city": "HALLSVILLE",
"state": "TX",
"postal_code": "756507701",
"telephone_number": "903-452-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 E MARSHALL AVE STE 5003",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015530",
"telephone_number": "903-470-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXEY",
"first_name": "JERRICA",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-05",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "98406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.