Active NPI
Adam James Maynard
- Mental Health Counselor
- Stockton, CA
National Provider Identifier
1518638675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- APCC21402
- Practice address
- 2423 W March LN Ste 200
Stockton, CA 95207-8250 - Phone
- (209) 478-9862
- NPI assigned
- Sep 27, 2021
- Last updated
- Dec 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APCC21402 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Community Health Worker | 172V00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2423 W March LN Ste 200
Stockton, CA 95207-8250
Mailing address
2423 W March LN Ste 200
Stockton, CA 95207-8250
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
| License | State | Type | Specialty |
|---|---|---|---|
| APCC21402 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1518638675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 W MARCH LN STE 200",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952078250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2423 W MARCH LN STE 200",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952078250",
"telephone_number": "209-478-9862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNARD",
"first_name": "ADAM",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-27",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "APCC21402",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.