Maverick Mental Health, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAVERICK MENTAL HEALTH, LLC

Practice address

5151 Main St
Sylvania, OH 43560-2184

Phone

(419) 266-0072

Fax

(419) 754-2306

NPI assigned

Mar 12, 2025

Last updated

Sep 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Seabolt, PH.D.NPI 1669113403

Title

Owner

Phone

(419) 266-5251

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

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.

• Amanda M Seabolt, PH.D., PMHNP-BC, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Sylvania, OH
  • NPI 1669113403
  Medicare reassignment NPD Authorized official
• Michael Dean Sell, LPCC

  • Mental Health Counselor
  • Sylvania, OH
  • NPI 1629535125
  Medicare reassignment NPD
• Stephanie Lynn Brooke, LPCC

  • Mental Health Counselor
  • Youngstown, OH
  • NPI 1679046791
  NPD (past)
• Steven W. Chapman, M. ED. LPC, LICDC

  • Mental Health Counselor
  • Bowling Green, OH
  • NPI 1295874691
  NPD (past)

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789171200000",
    "number": "1851190672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MAIN ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602184",
            "telephone_number": "419-266-0072",
            "fax_number": "419-754-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MAIN ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602184",
            "telephone_number": "419-266-0072",
            "fax_number": "419-754-2306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7110 W Central Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436173115",
            "country_code": "US",
            "telephone_number": "419-266-0072",
            "fax_number": "419-754-2306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAVERICK MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "SEABOLT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-266-5251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Helene Mathers, RN
• Arun Deepak Mathur, MD
• Wendy Grace Matlack, OTR/L
• Megan Carol Matrisciano, PA-C
• Maumee Bay Imaging Consultants, Inc.
• Robert Jeffery Mawer, BC-HIS
• Keshia Ann Maybee, LPC
• Mayberry Pharmacy LLC
• Nayef Mazloum
• Thomas McAlear, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.