Active NPI
David C. Maynard, LAC
- Counselor
- Jonesboro, AR
National Provider Identifier
1093288607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A2507030
- Practice address
- 1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870 - Phone
- (870) 933-6886
- Fax
- (870) 933-9395
- NPI assigned
- Jan 7, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A2507030 | AR | Primary |
Addresses
Primary practice location
1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Mailing address
1815 Pleasant Grove Rd
Jonesboro, AR 72405-7870
Phone (870) 933-6886
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 |
|---|---|---|---|
| A2507030 | AR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1093288607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 PLEASANT GROVE RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724057870",
"telephone_number": "870-933-6886",
"fax_number": "870-336-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 PLEASANT GROVE RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724057870",
"telephone_number": "870-933-6886",
"fax_number": "870-933-9395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNARD",
"first_name": "DAVID",
"middle_name": "C.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-07",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "A2507030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.