Individual provider Active NPI

Amy Marissa Maxwell, LPC, LCPC, LCAT

  • Professional Counselor
  • Biddeford, ME
National Provider Identifier
1679176515
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0017549 Issued in CO
Practice address
25 Union St # 1
Biddeford, ME 04005-3145
Phone
(720) 663-1296
NPI assigned
Nov 20, 2020
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC7526 ME
Mental Health Counselor 101YM0800X TPMC1981 FL
Professional Counselor 101YP2500X 92195 TX
Professional Counselor 101YP2500X 0017549 CO Primary
Art Therapist 221700000X 002488-01 NY

Addresses

Primary practice location

25 Union St # 1
Biddeford, ME 04005-3145

Mailing address

25 Union St # 1
Biddeford, ME 04005-3145
Phone (720) 663-1296

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy@afterglowhealingltd.com

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
TPMC1981FLMDMental Health Counselor
CC7526MEMDMental Health Counselor
0017549COMDProfessional Counselor
92195TXMDProfessional Counselor
002488-01NYMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1679176515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 UNION ST # 1",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053145",
            "telephone_number": "720-663-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 UNION ST # 1",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053145",
            "telephone_number": "720-663-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "AMY",
        "middle_name": "MARISSA",
        "credential": "LPC, LCPC, LCAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC7526",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPMC1981",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92195",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0017549",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "002488-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy@afterglowhealingltd.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1086 10th St",
            "city": "Boulder",
            "state": "CO",
            "country_code": "US",
            "postal_code": "803027261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.