Individual provider Active NPI

Maura Carmody Jarldane, M.ED, LPC-S, NCC

  • Professional Counselor
  • Midland, TX
National Provider Identifier
1659885671
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63404 Issued in TX
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
63404TXMDMental 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

Verify at the official NPI Registry.