Active NPI
David C. Maynard, PHD, LPCC
- Mental Health Counselor
- Lexington, KY
National Provider Identifier
1750428975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 104109
- Practice address
- 1031 Wellington Way Ste 265
Lexington, KY 40513-1256 - Phone
- (859) 229-8222
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 104109 | KY | |
| Mental Health Counselor | 101YM0800X | 104109 | KY | Primary |
Addresses
Primary practice location
1031 Wellington Way Ste 265
Lexington, KY 40513-1256
Mailing address
1031 Wellington Way Ste 265
Lexington, KY 40513-1256
Phone (859) 229-8222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 2, 2024 through Jan 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104109 | KY | MD | Mental Health Counselor |
| 1096 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1750428975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 WELLINGTON WAY STE 265",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131256",
"telephone_number": "859-229-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 WELLINGTON WAY STE 265",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405131256",
"telephone_number": "859-229-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNARD",
"first_name": "DAVID",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "PHD, LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "104109",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "104109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.