Maya Glover, MS, ALC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ALC04668 Issued in AL

Practice address

810 Palmer Rd Ste 101
Madison, AL 35758-3115

Phone

(256) 213-1934

Fax

(256) 325-3109

NPI assigned

Mar 22, 2024

Last updated

Mar 22, 2024By the provider in NPPES

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

Enrolled in AL

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellstone, Inc.

  dba WellStone Behavioral Health

  • Mental Health Counselor
  • Huntsville, AL
  • NPI 1407809213
  Medicare reassignment
• Complete Counseling LLC

  dba Complete Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, AL
  • NPI 1003581265
  NPD

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1679333868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1892",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 PALMER RD STE 101",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583115",
            "telephone_number": "256-213-1934",
            "fax_number": "256-325-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "MAYA",
        "credential": "MS, ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "ALC04668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Nichole Smith Gilliam, CRNA
• Todd Anthony Gilmore Jr., ATC
• Giving Grace Counseling, LLC
• Tanner Samuel Glass, DC
• Rachelle Ulana Glaze, B.A.
• Kyra Faith Gomes, RDN
• Good Samaritan Hospice of Madison Inc.
• Lauren Goodson, OTR/L
• Shelby Lynn Gordon, NP-C
• Jenifer Gottschalk

• Mental Health Counselor in Madison, AL
• Providers in Madison, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.

Verify at the official NPI Registry.