Active NPI
Maxi Malone, LPC
- Professional Counselor
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 77498
- Practice address
- 8915 Harry Hines Blvd
Dallas, TX 75235-1717 - Phone
- (214) 351-3190
- NPI assigned
- Jan 31, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 77498 | TX | Primary |
Addresses
Primary practice location
8915 Harry Hines Blvd
Dallas, TX 75235-1717
Mailing address
3902 Copeland St
Dallas, TX 75210-2119
Phone (214) 830-6742
Other practice location 1
4100 Spring Valley Rd Ste 515
Dallas, TX 75244-3803
Phone (817) 751-7802
Other practice location 2
11551 Forest Central Dr Ste 202
Dallas, TX 75243-3919
Phone (817) 751-7802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3705 Lakeview Pkwy
Suite 301
Rowlett, TX 75088-4179
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients | |
| PHC of Buffalo Grove Clinical Psychology | Past | Accepting new patients | |
| Progressive Behavioral Health, PLLC | Professional | Past | Accepting new patients |
Locations
1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050
825 W Royal Ln
Ste 220
Irving, TX 75039
3705 Lakeview Pkwy
Ste 301
Rowlett, TX 75088
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
Professional
-
- Psychologist
- Vernon Hills, IL
- NPI 1235430612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557878400000",
"number": "1104381482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 COPELAND ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752102119",
"telephone_number": "214-830-6742",
"fax_number": "847-859-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8915 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752351717",
"telephone_number": "214-351-3190"
}
],
"practiceLocations": [
{
"address_1": "4100 Spring Valley Rd Ste 515",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752443803",
"country_code": "US",
"telephone_number": "817-751-7802",
"fax_number": "847-859-5885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11551 Forest Central Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752433919",
"country_code": "US",
"telephone_number": "817-751-7802",
"fax_number": "847-859-5885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONE",
"first_name": "MAXI",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-31",
"last_updated": "2019-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "77498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.