Leigh Alexandria Maxwell

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1611175 Issued in AR

Practice address

110 Skyline Dr
Russellville, AR 72801-3362

Phone

(479) 968-1298

Fax

(497) 968-6053

NPI assigned

Mar 15, 2010

Last updated

May 1, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

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.

• Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1649381120
  Medicare reassignment NPD
• Aletheias Embrace Counseling PLLC

  • Mental Health Counselor
  • Russellville, AR
  • NPI 1164302261
  NPD Authorized official
• Counseling Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Heber Springs, AR
  • NPI 1144701848
  NPD
• Professional Counseling Associates Inc.

  • Community/Behavioral Health Agency
  • North Little Rock, AR
  • NPI 1437164977
  NPD

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1467776815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-725-5115",
            "fax_number": "479-750-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SKYLINE DR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728013362",
            "telephone_number": "479-968-1298",
            "fax_number": "497-968-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "LEIGH",
        "middle_name": "ALEXANDRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1611175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Mateos, LPC
• Sandra Jean Mathes, LCSW
• Elizabeth Mathis
• Maxus Inc (Arkansas Counseling Associates)
• William Alan Maxwell-Walker, APRN
• Jessica May
• Rachael May
• Bryhanna Mays
• Dione Mays
• Lindsey McAfee

• Professional Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.