Mai Spickelmier, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61029 Issued in TX

Practice address

400 Park Lane
Pasadena, TX 77506

Phone

(832) 658-5230

Fax

(713) 473-0385

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  Single Specialty, TX

  Medicare reassignment Care Compare group NPD
• Jewish Family Service

  • Clinical Social Worker
  • Houston, TX
  • NPI 1245387919
  Medicare reassignment NPD

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1124587340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARK LANE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77506",
            "telephone_number": "832-658-5230",
            "fax_number": "713-473-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARK LANE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77506",
            "telephone_number": "832-658-5230",
            "fax_number": "713-473-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICKELMIER",
        "first_name": "MAI",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "TX",
            "license": "61029",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Special Texas Homes, Inc.
• Special Texas Homes, Inc.
• Special Texas Homes, Inc.
• Spencer Highway Emergency Physicians, PLLC
• Ray Shannon Spicer
• Spinks Home Visits MHT LLC
• David Wayne Spinks, D.O.
• Deepika Srivastava
• SSC Pasadena Operating Company LLC
• St. Luke'S Health Center LLC

• Clinical Social Worker in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.

Verify at the official NPI Registry.