Organization Active NPI

Kaye Maynard Counseling Inc

  • Clinical Social Worker
  • Pataskala, OH
National Provider Identifier
1770890576
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I. 1000063 Issued in OH
Legal business name
KAYE MAYNARD COUNSELING INC
Practice address
7257 E Broad St SW Unit C
Pataskala, OH 43062-8501
Phone
(740) 963-2976
Fax
(740) 927-0461
NPI assigned
Sep 1, 2010
Last updated
Mar 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Kaye E Maynard, LISWNPI 1740594530
Title
Social Worker
Phone
(740) 963-2976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I. 1000063 OH Primary

Addresses

Primary practice location

7257 E Broad St SW Unit C
Pataskala, OH 43062-8501

Mailing address

PO Box 292
7257 E. Broad St. SW, Unit C
Pataskala, OH 43062-0292
Phone (740) 963-2976

Other identifiers 1

IdentifierTypeStateIssuer
0066911MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101202000151 OH Part B Supplier - Clinic/Group Practice 6800082843 Receives reassigned benefits from 1 practitioner
Practice locations: Pataskala, OH

National Provider Directory

National Provider Directory

Locations

36 E Depot St
Pataskala, OH 43062

7257 E Broad St SW
#C
Pataskala, OH 43062
Phone (740) 963-2976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1770890576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "address_2": "7257 E. BROAD ST. SW, UNIT C",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430620292",
            "telephone_number": "740-963-2976",
            "fax_number": "740-927-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 E BROAD ST SW UNIT C",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628501",
            "telephone_number": "740-963-2976",
            "fax_number": "740-927-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYE MAYNARD COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "740-963-2976",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 1000063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0066911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pataskala, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.