Individual provider Active NPI

Tioana Maxwell, PSY. D, M.A, M.L.A

  • Mental Health Counselor
  • Katy, TX
National Provider Identifier
1356574743
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
633 E Fernhurst Dr Ste 301
Katy, TX 77450-1586
Phone
(832) 900-9819
Fax
(832) 415-2905
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36513 TX
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

633 E Fernhurst Dr Ste 301
Katy, TX 77450-1586

Mailing address

633 E Fernhurst Dr Ste 301
Katy, TX 77450-1586
Phone (832) 900-9819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20131230000910 TX Practitioner - Clinical Psychologist 3678616612 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
36513TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Mental Health Associates PC Past Accepting new patients

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1356574743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 301",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501586",
            "telephone_number": "832-900-9819",
            "fax_number": "832-415-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 301",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501586",
            "telephone_number": "832-900-9819",
            "fax_number": "832-415-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "TIOANA",
        "name_prefix": "Dr.",
        "credential": "PSY. D, M.A, M.L.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36513",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.