NPIMap

Individual provider Active NPI

Linda L Maxwell, LMHC, ATR-BC, LADC1

  • Counselor
  • Haverhill, MA
National Provider Identifier
1497816615
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
06-101 Issued in MA
Practice address
659 Primrose St
Haverhill, MA 01830-2608
Phone
(978) 821-3298
Fax
(978) 373-2142
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6130 MA
Counselor 101Y00000X 06-101 MA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2210 MA

Addresses

Primary practice location

659 Primrose St
Haverhill, MA 01830-2608

Mailing address

95 Parker St
Newburyport, MA 01950-4033
Phone (978) 821-3298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06-101MAMDCounselor
2210MAMDBehavioral Analyst
6130MAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1497816615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PARKER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504033",
            "telephone_number": "978-821-3298",
            "fax_number": "978-373-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 PRIMROSE ST",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018302608",
            "telephone_number": "978-821-3298",
            "fax_number": "978-373-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "LINDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMHC, ATR-BC, LADC1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "6130",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "06-101",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "2210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haverhill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.