Individual provider Active NPI

Holly Maples, CMS

  • Case Manager/Care Coordinator
  • Wilmington, OH
National Provider Identifier
1255087318
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
48 Randolph St
Wilmington, OH 45177-2731
Phone
(937) 481-5645
Fax
(937) 481-5647
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Peer Specialist 175T00000X OH
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

48 Randolph St
Wilmington, OH 45177-2731

Mailing address

48 Randolph St
Wilmington, OH 45177-2731
Phone (937) 481-5645

Other practice location 1

36 N Detroit St
Xenia, OH 45385-2909
Phone (937) 610-4673

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hmaples@thephoenixcenters.com Direct
Direct Messaging Address hmaples@thephoenixcenters.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Decoach Team LLC CurrentSince Mar 6, 2022 Accepting new patients
Phoenix Center, Inc. Addiction (Substance Use Disorder) PastSince Jun 26, 2022 Accepting new patients

Locations

3103 Dixie Hwy
Hamilton, OH 45015
Phone (513) 892-4673

36 N Detroit St
Xenia, OH 45385
Phone (937) 610-4673

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1255087318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 RANDOLPH ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772731",
            "telephone_number": "937-481-5645",
            "fax_number": "937-481-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 RANDOLPH ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772731",
            "telephone_number": "937-481-5645",
            "fax_number": "937-481-5647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 N Detroit St",
            "address_purpose": "LOCATION",
            "city": "Xenia",
            "state": "OH",
            "postal_code": "453852909",
            "country_code": "US",
            "telephone_number": "937-610-4673",
            "fax_number": "937-736-2615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAPLES",
        "first_name": "HOLLY",
        "credential": "CMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmaples@thephoenixcenters.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "48 Randolph St",
            "city": "Wilmington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451772731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmaples@thephoenixcenters.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "48 Randolph St",
            "city": "Wilmington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451772731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.