Individual provider Active NPI

Maylynn D York, LPC-S

  • Professional Counselor
  • Fort Smith, AR
National Provider Identifier
1740355437
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1211107 Issued in AR
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

Updated by the provider on Aug 6, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220000231 AR Practitioner - Mental Health Counselor 3678923471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

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

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients
Thriveworks Telepsychiatry - Arkansas Mental Health CurrentSince May 10, 2022 Accepting new patients
Thrive Counseling LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Mind and Body Wellness, LLC. Professional CurrentSince Apr 28, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.