William Justin Maynard, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC017063 Issued in GA

Practice address

3730 Washington Rd Ste 200
Augusta, GA 30907-4196

Phone

(706) 471-0603

Fax

(706) 480-6617

NPI assigned

Dec 11, 2023

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

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.

• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  Professional

  NPD
• Savannah River Counseling

  • Professional Counselor
  • Evans, GA
  • NPI 1477381259
  NPD
• Resolution Counseling Professionals

  • Professional Counselor
  • Augusta, GA
  • NPI 1700298270
  NPD (past)

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1194592931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 WASHINGTON RD STE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309074196",
            "telephone_number": "706-471-0603",
            "fax_number": "706-480-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 WASHINGTON RD STE 200",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309074196",
            "telephone_number": "706-471-0603",
            "fax_number": "706-480-6617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3633 Wheeler Rd Ste 365",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096549",
            "country_code": "US",
            "telephone_number": "706-432-6866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 Town Park Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093477",
            "country_code": "US",
            "telephone_number": "706-210-8855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "WILLIAM",
        "middle_name": "JUSTIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC017063",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Mayer Moreira, MD
• Laura Diane Mayer
• Kenya Mayes
• Abbey Mayfield
• James B Mayfield Jr., MD
• Emani Mayo
• Lisa Mayo, LPC
• Christian Andrew Mays, MD
• Latifah Mays
• Lavonia Mays

• Professional Counselor in Augusta, GA
• Providers in Augusta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.