Desmond Orville Maul, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

01191 Issued in GA

Practice address

2012 Eastview Pkwy Ste 400
Conyers, GA 30013-5701

Phone

(770) 679-0586

NPI assigned

Dec 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Hosanna Ministries Inc

  • Mental Health Counselor
  • Philadelphia, PA
  • NPI 1235293168
  NPD (past) Authorized official

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1841354768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 EXCHANGE PL SE STE A",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136723",
            "telephone_number": "770-679-0586",
            "fax_number": "770-285-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 EASTVIEW PKWY STE 400",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135701",
            "telephone_number": "770-679-0586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Exchange Pl SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300136723",
            "country_code": "US",
            "telephone_number": "770-679-0586",
            "fax_number": "770-285-6325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAUL",
        "first_name": "DESMOND",
        "middle_name": "ORVILLE",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "MFT000266",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MFT000266",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "01191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGICAL SERVICES",
            "identifier": "PERSONAL CHOICE",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGICAL SERVICES",
            "identifier": "AETNA",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGICAL SERVICES",
            "identifier": "HORIZONBLUE CROSS",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGICAL SERVICES",
            "identifier": "BLUECROSSBLUESHIELD",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGICAL SERVICES",
            "identifier": "HIGHMARK",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGICAL SERRVICES",
            "identifier": "BLUE CROSS BLUE SHIE",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGICAL SERVICES",
            "identifier": "BLUECROSSBLUE SHIELD",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGICAL SERVICES",
            "identifier": "UNITED HEALTHCARE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matters of the Heart Counseling Services, LLC
• Clara A Matthews, BSN,RN, CSFA
• Angela Feazel Mattke, MD
• Kimberly Maughon
• Suzann I Maughon
• Scharika Leecole May, CNA, PCT
• Chrisanne Mayer, PSY.D.
• Adelaida Larduet Mayeta-Peart, APRN FNP-C
• Donald Maynard, MD
• Gail Mayshark, PHD

• Mental Health Counselor in Conyers, GA
• Providers in Conyers, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.