Individual provider Active NPI

Morgan Elizabeth Maddox, LCMHC

  • Mental Health Counselor
  • New Durham, NH
National Provider Identifier
1053856187
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
XL4757 Issued in ME
Practice address
259 Old Bay Rd
New Durham, NH 03855-2245
Phone
(802) 384-4461
NPI assigned
Dec 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X XL4757 ME Primary

Addresses

Primary practice location

259 Old Bay Rd
New Durham, NH 03855-2245

Mailing address

5 Dunaway Dr
Sanford, ME 04073-5143
Phone (207) 324-7955

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

LicenseStateTypeSpecialty
XL4757MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Matters Mental Health, LLC Mental Health CurrentSince Oct 6, 2024 Accepting new patients
Waypoint Maine, Inc. Past Accepting new patients

Locations

35 Center St
Ofc 8
Wolfeboro, NH 03894
Phone (802) 384-4461

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1053856187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DUNAWAY DR",
            "city": "SANFORD",
            "state": "ME",
            "postal_code": "040735143",
            "telephone_number": "207-324-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 OLD BAY RD",
            "city": "NEW DURHAM",
            "state": "NH",
            "postal_code": "038552245",
            "telephone_number": "802-384-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "MORGAN",
        "middle_name": "ELIZABETH",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL4757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Durham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.