Angela Maynard, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2465 Byron Station Dr SW
Byron Center, MI 49315-9482

Phone

(616) 499-4711

NPI assigned

May 22, 2024

Sex

Female

Sole proprietor

Yes

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

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.

• Amplified Life Network, LLC

  dba Amplified Life

  • Professional Counselor
  • Byron Center, MI
  • NPI 1558713388
  NPD

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1174362891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 CRAMTON AVE NE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018752",
            "telephone_number": "616-328-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 BYRON STATION DR SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159482",
            "telephone_number": "616-499-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "ANGELA",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Quinn Marlowe, PA
• Elaine Kae Martin
• Ann E Mathias, D.O.
• Kortni Lynn Matteson, DDS
• Matthew R Vanderlaan DDS PLLC
• Nicholas Thomas McBride, DPT
• Whitney Diane McKinney, LMSW
• Taylor Nicole McMillen, PSYD
• Melford C Garvin DDS PC (Garvin Family Dental Care PC)
• Marta Metz

• Professional Counselor in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.