Active NPI
Maylynn D York, LPC-S
- Professional Counselor
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1211107
- Practice address
- 720 Lexington Ave
Fort Smith, AR 72901-4738 - Phone
- (479) 910-3169
- Fax
- (479) 600-5051
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 | P1211107 | AR | Primary |
Addresses
Primary practice location
720 Lexington Ave
Fort Smith, AR 72901-4738
Mailing address
720 Lexington Ave
Fort Smith, AR 72901-4738
Phone (479) 910-3169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
685 Shelby TRL
Suite 105
Conway, AR 72034-7169
Phone (855) 284-7483
720 Lexington Ave
Fort Smith, AR 72901-4738
Phone (479) 910-3169
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
| Thriveworks Telepsychiatry - Arkansas | Mental Health | Current | Accepting new patients |
| Thrive Counseling LLC | Mental Health | Current | Accepting new patients |
| Mind and Body Wellness, LLC. | Professional | Current | Accepting new patients |
Locations
685 Shelby Trl
Ste 105
Conway, AR 72034
Phone (501) 300-9320
720 Lexington Ave
Fort Smith, AR 72901
Phone (479) 910-3169
4704 W Commercial Dr
Ste A
North Little Rock, AR 72116
Phone (501) 397-1015
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Interoperability endpoints
- maylynnstaggs@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Fort Smith, AR
- NPI 1508540956
Professional
-
- Mental Health Counselor
- Fayetteville, AR
- NPI 1669130928
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1740355437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 LEXINGTON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014738",
"telephone_number": "479-910-3169",
"fax_number": "479-600-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 LEXINGTON AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729014738",
"telephone_number": "479-910-3169",
"fax_number": "479-600-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YORK",
"first_name": "MAYLYNN",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1211107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.