Maple Grove Mental Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MAPLE GROVE MENTAL HEALTH LLC

Doing business as

Maple Grove Mental Health LLC

Practice address

711 E Lewis and Clark Pkwy Ste 202
Clarksville, IN 47129-2283

Phone

(502) 208-8441

NPI assigned

Apr 15, 2025

Last updated

May 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas A Dixon, LMHCNPI 1932735024

Title

Owner

Phone

(502) 208-8441

Specialties & licenses 1

Addresses

Other names 1

• Maple Grove Mental Health LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Anthony Dixon, LMHC

  • Mental Health Counselor
  • Clarksville, IN
  • NPI 1932735024
  NPD Authorized official

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1477349611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E LEWIS AND CLARK PKWY STE 203",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292283",
            "telephone_number": "502-208-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E LEWIS AND CLARK PKWY STE 202",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292283",
            "telephone_number": "502-208-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE GROVE MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-208-8441",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Grove Mental Health LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maple Grove Mental Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mainstream Transportation Authority,Inc.
• Nbba Malik
• Ryan N Malone, RBT
• Savannah Mancine
• Audrey Manis, MT-BC
• Abigail Marks
• Sydney Martin, RBT
• Robert B Martindale, OD
• Shawna Mathis
• William Anthony Mathis, LCSW, CADC

• Mental Health Counselor in Clarksville, IN
• Providers in Clarksville, IN by specialty
• Mental Health Counselor in Indiana

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.