Individual provider Active NPI

Mayme L. Connors, LCDC

  • Counselor
  • Dallas, TX
National Provider Identifier
1700457918
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
3500 Oak Lawn Ave Ste 200
Dallas, TX 75219-6714
Phone
(214) 385-5445
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15741 TX
Counselor 101Y00000X Primary

Addresses

Primary practice location

3500 Oak Lawn Ave Ste 200
Dallas, TX 75219-6714

Mailing address

7740 Bantry LN
Dallas, TX 75248-1706
Phone (817) 564-4471

Other identifiers 1

IdentifierTypeStateIssuer
15741OtherTXSTATE LCDC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mayme@roomforchange.info Direct Room for Change

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
15741TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
53 Christopher PLLC CurrentSince Feb 9, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mayme@roomforchange.info

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1700457918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 BANTRY LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481706",
            "telephone_number": "817-564-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 OAK LAWN AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752196714",
            "telephone_number": "214-385-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "MAYME",
        "middle_name": "L.",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15741",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LCDC LICENSE",
            "identifier": "15741",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mayme@roomforchange.info",
            "affiliation": "Y",
            "endpointDescription": "Professional Email",
            "affiliationName": "Room for Change",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Private Email",
            "address_1": "3500 Oak Lawn Ave Ste 200",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752196714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.