Individual provider Active NPI

Maurie E. Maestas, MHP

  • Mental Health Counselor
  • Arkadelphia, AR
National Provider Identifier
1841628484
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A1411147 Issued in AR
Practice address
2607 Caddo St
Suite 6
Arkadelphia, AR 71923-5307
Phone
(870) 230-8217
Fax
(870) 230-8201
NPI assigned
Oct 16, 2013
Last updated
Nov 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1411147 AR Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

2607 Caddo St
Suite 6
Arkadelphia, AR 71923-5307

Mailing address

175 W Glazypeau Rd
Hot Springs, AR 71909-9561
Phone (501) 984-1971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A1411147ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Counseling and Psychodiagnostics, Inc. Past Accepting new patients
Arkansas Counseling and Psychodiagnostics, Inc. PastSince Dec 22, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maurie.maestas.1@10828.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416182400000",
    "number": "1841628484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W GLAZYPEAU RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719099561",
            "telephone_number": "501-984-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 CADDO ST",
            "address_2": "SUITE 6",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235307",
            "telephone_number": "870-230-8217",
            "fax_number": "870-230-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESTAS",
        "first_name": "MAURIE",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "MHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2014-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1411147",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.