Jesse Levi Maggard, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

87173 Issued in TX

Practice address

2505 Washington Ave Ste 9
Waco, TX 76710-7408

Phone

(254) 481-9860

Fax

(254) 244-5687

NPI assigned

Apr 3, 2024

Last updated

Jul 31, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psych Dimensions IncGroup PAC ID 0143589739, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Psych Dimensions Inc

  • Psychiatry Physician
  • Georgetown, TX
  • NPI 1538534086
  Medicare reassignment Care Compare group NPD
• Clear Flame Counseling, PLLC

  • Professional Counselor
  • Waco, TX
  • NPI 1306769963
  NPD (past) Authorized official
• Victory Spinal Care Waco LLC

  • Chiropractor
  • Waco, TX
  • NPI 1730973629
  NPD
• Chupik Counseling & Consulting PA

  • Specialist
  • Temple, TX
  • NPI 1548551021
  NPD (past)

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1962254813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 KELLER PKWY # 4404",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483749",
            "telephone_number": "254-481-9860",
            "fax_number": "254-244-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 WASHINGTON AVE STE 9",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107408",
            "telephone_number": "254-481-9860",
            "fax_number": "254-244-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGARD",
        "first_name": "JESSE",
        "middle_name": "LEVI",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-03",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "87173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarrod Maddox, OTD, OTR, CHT
• Sudhir Madisetty, M.D.
• Delia Shavon Madkins, LVN
• Joy Maduka
• Anne Magers, M. S.
• Daryl John Magoulick, CRNA
• Joel Brennan Mahan, M.D.
• Damarice E Mainda
• Ryan Majoros, MA LPC, LMHC
• Elizabeth Makovy, PTA

• Professional Counselor in Waco, TX
• Providers in Waco, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.