Individual provider Active NPI

David Thomas Maxwell, LMFT-A

  • Marriage & Family Therapist
  • Raleigh, NC
National Provider Identifier
1568180800
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
12443A Issued in NC
Practice address
8392 Six Forks Rd Ste 202
Raleigh, NC 27615-3061
Phone
(919) 995-6998
NPI assigned
Aug 22, 2022
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 12443A NC Primary

Addresses

Primary practice location

8392 Six Forks Rd Ste 202
Raleigh, NC 27615-3061

Mailing address

257 McDowell Dr
Wake Forest, NC 27587-2571
Phone (191) 265-6307

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
12443ANCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Counseling and Consulting, PLLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

8392 Six Forks Rd
Ste 202
Raleigh, NC 27615
Phone (919) 830-6827

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1568180800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 MCDOWELL DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872571",
            "telephone_number": "191-265-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8392 SIX FORKS RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153061",
            "telephone_number": "919-995-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LMFT-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12443A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.