Individual provider Active NPI

Christy Nicole Maples, LPC ASSOCIATE

  • Professional Counselor
  • Rockwall, TX
National Provider Identifier
1932871126
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84011 Issued in TX
Practice address
4035 N Goliad St
Rockwall, TX 75087-7031
Phone
(469) 693-4697
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 84011 TX Primary

Addresses

Primary practice location

4035 N Goliad St
Rockwall, TX 75087-7031

Mailing address

4035 N Goliad St
Rockwall, TX 75087-7031
Phone (469) 693-4697

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 22, 2024 through Jan 22, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
84011TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Scott Counseling, PLLC Professional PastSince Oct 10, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1932871126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 N GOLIAD ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877031",
            "telephone_number": "469-693-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 N GOLIAD ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750877031",
            "telephone_number": "469-693-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLES",
        "first_name": "CHRISTY",
        "middle_name": "NICOLE",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.