Marshal Dillon Martin Maiwald, LMFT ASSOCIATE

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

204843 Issued in TX

Practice address

1121 Dallas Dr
Denton, TX 76205-5100

Phone

(940) 483-1789

NPI assigned

Nov 21, 2022

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1083323877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 OAKWOOD DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762055940",
            "telephone_number": "703-789-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 DALLAS DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762055100",
            "telephone_number": "940-483-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIWALD",
        "first_name": "MARSHAL",
        "middle_name": "DILLON MARTIN",
        "name_prefix": "Mr.",
        "credential": "LMFT ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalit Kumar Mahajan, MD
• Sabina Maharjan
• Samira Mohammed Mahbob
• Skyler Michelle Maher, MD
• Lacey Main
• Major Blair, Jr. M.D.
• Wilson Ngoh Makia
• Babu Makkena, MD
• Muhammad M. Makkieh, DO
• Carmen Malaver, LCDC

• Marriage & Family Therapist in Denton, TX
• Providers in Denton, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.