Active NPI
Maura Carmody Jarldane, M.ED, LPC-S, NCC
- Professional Counselor
- Midland, TX
National Provider Identifier
1659885671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63404
- Practice address
- 1700 N Big Spring St
Midland, TX 79701-2624 - Phone
- (432) 682-7273
- Fax
- (432) 685-0108
- NPI assigned
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 63404 | TX | Primary |
Addresses
Primary practice location
1700 N Big Spring St
Midland, TX 79701-2624
Mailing address
4711 Neely Ave
Midland, TX 79707-5215
Phone (432) 894-0963
Other practice location 1
4711 Neely Ave
Midland, TX 79707-5215
Phone (432) 894-0963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3701 Andrews Hwy
Midland, TX 79703
4711 Neely Ave
Midland, TX 79707-5215
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63404 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1659885671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4711 NEELY AVE",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797075215",
"telephone_number": "432-894-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 N BIG SPRING ST",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797012624",
"telephone_number": "432-682-7273",
"fax_number": "432-685-0108"
}
],
"practiceLocations": [
{
"address_1": "4711 Neely Ave",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "TX",
"postal_code": "797075215",
"country_code": "US",
"telephone_number": "432-894-0963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARLDANE",
"first_name": "MAURA",
"middle_name": "CARMODY",
"credential": "M.ED, LPC-S, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.