Maylee Chang Thao, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

01229 Issued in MN

Practice address

2042 Wooddale Dr Ste 250
Woodbury, MN 55125-4421

Phone

(651) 300-3328

Fax

(651) 419-1314

NPI assigned

Apr 29, 2014

Last updated

May 15, 2025By 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 1

Addresses

Other identifiers 1

Other names 1

• Chong Chang Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Path of Life Counseling PSC

  • Mental Health Counselor
  • Woodbury, MN
  • NPI 1093390478
  Medicare reassignment NPD Authorized official
• Family Revelations Inc.

  • Adult Mental Health Clinic/Center
  • Maplewood, MN
  • NPI 1790212926

  Professional

  NPD (past)

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1326458340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR STE 250",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254421",
            "telephone_number": "651-300-3328",
            "fax_number": "651-419-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR STE 250",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254421",
            "telephone_number": "651-300-3328",
            "fax_number": "651-419-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "MAYLEE",
        "middle_name": "CHANG",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "01229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "981932200",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pathoflifecounselingmn.com",
            "affiliation": "N",
            "endpointDescription": "info and inquiry",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2042 Wooddale Dr Ste 250",
            "city": "Woodbury",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551254421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHONG",
            "last_name": "CHANG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teolak Home Care LLC
• Tamara Tew, APRN, CNP, PMHNP-BC
• Mark K Thalacker, CNP
• Kayla Thalhuber
• Mai Der Thao
• Michelle Suabcua Thao
• Mosicrown Thao, MA, LPCC
• Shengyeng Thao
• Sophia Thao
• Umeng David Thao, MD

• Professional Counselor in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.