Autumn Maxwell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

101552 Issued in TX

Practice address

5473 Blair Rd Ste 100
Dallas, TX 75231-4227

Phone

(972) 779-5486

NPI assigned

Feb 6, 2026

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kander Counseling and Consulting

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1265383939
  NPD Authorized official

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1629929393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 BLAIR RD STE 100",
            "address_2": "PMB 184854",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314227",
            "telephone_number": "614-512-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5473 BLAIR RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314227",
            "telephone_number": "972-779-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "101552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lynn Maxson, MS, RD, LD
• Maxum Health Services Corp
• Maxum Health Services Corp
• Maxum Health Services Corp
• Kristen Annette Maxvill, PHARM.D., BCPS
• Christine Elizabeth Maxwell
• Daniel Maxwell, M.D.
• David Roketha Maxwell, D.D.S.
• Jenny Maxwell, NP
• Megan Gentry Maxwell, M.D.

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.