Carole Dian Pelham Maxfield, LPC, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT1040 Issued in OK

Practice address

324 S Hwy 81
Restoration Counseling and Neurofeedback Center
Duncan, OK 73533-8320

Phone

(580) 786-1221

Fax

(580) 531-4519

NPI assigned

Oct 5, 2007

Last updated

Aug 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Mrs. Carole Pelham Maxfield Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restoration Counseling and Neurofeedback Center, LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duncan, OK
  • NPI 1568199768
  NPD
• Christian Family Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lawton, OK
  • NPI 1417059460
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1174711931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 762",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735340762",
            "telephone_number": "580-786-1221",
            "fax_number": "336-850-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S HWY 81",
            "address_2": "RESTORATION COUNSELING AND NEUROFEEDBACK CENTER",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735338320",
            "telephone_number": "580-786-1221",
            "fax_number": "580-531-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELHAM MAXFIELD",
        "first_name": "CAROLE",
        "middle_name": "DIAN",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "LPC3807",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "LPC9974",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "LMFT1040",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "LMFT3291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLE",
            "last_name": "PELHAM MAXFIELD",
            "prefix": "MRS.",
            "credential": "LPC LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Grace Elizabeth Peters, PA-C
• James Robert Petersen, D.O.
• Taylor Petersen

• Marriage & Family Therapist in Duncan, OK
• Providers in Duncan, OK by specialty
• Marriage & Family Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.