Nicole Maxwell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1301 Shiloh Rd NW Ste 730
Kennesaw, GA 30144-7157

Phone

(678) 410-6499

NPI assigned

Feb 28, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1497511299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 GLORY MAPLE TRCE",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276431",
            "telephone_number": "678-410-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 730",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447157",
            "telephone_number": "678-410-6499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Leigh Mathis, M.ED.CCC-SLP
• Nicole Adair Mathis, OT
• Stephanie L Mathis, FNP-C
• Robert Bryan Mattson, D.C.
• Jasmine Maxwell, FNP-S
• Brooke Anderson May
• Carol Ann May, MA, LPC
• Adrienne Maye, RN, BSN, CDCES
• Byrunis Earl Mays Jr.
• Myesha L Mays

• Mental Health Counselor in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.