TAYLOR MAXWELL-THOMAS – Professional Counselor, NPI 1205561719

TAYLOR MAXWELL-THOMAS is a healthcare provider. based in Lees summit, Missouri. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 2019040080 (MO). The NPI Number for TAYLOR MAXWELL-THOMAS is 1205561719

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR MAXWELL-THOMAS
NPI
1205561719
Phone
(816) 347-3069
Address
1555 NE RICE RD
Enumeration Date
19 July 2022
Last Update Date
19 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2143513490
Graduation Year
2018 (8 years ago)
PAC ID
8022467927
Group Practice PAC ID
1153413711
Professional Enrollment ID
I20231217000028
Address ID
TX750935627PL4031XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,232 MENTAL HEALTH COUNSELOR in MO

Provider Addresses for TAYLOR MAXWELL-THOMAS

  • 1555 NE RICE RD

    LEES SUMMIT, MO 640865849

    Phone: (816) 347-3069

    Fax: (816) 347-3200

    Type: Mailing

  • 1535 NE RICE RD

    LEES SUMMIT, MO 640865849

    Phone: (816) 966-0900

    Fax: (816) 524-2235

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231217000028IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64086)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153413711View full group profile
NameSpecialtyState
Psychiatry, NeurologyTX
P S Y C H I A T R YTX
-TX
Mental Health CounselorTX
-TX
P S Y C H I A T R YTX
-TX
P S Y C H I A T R YTX
P S Y C H I A T R YTX
P S Y C H I A T R YTX

Reviews

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Frequently asked questions

Where can patients find TAYLOR MAXWELL-THOMAS's NPI?
You can confirm TAYLOR MAXWELL-THOMAS with NPI 1205561719; it appears in the national provider directory.
Is TAYLOR MAXWELL-THOMAS active in the national directory?
TAYLOR MAXWELL-THOMAS's public NPI profile is in an active state.
What does TAYLOR MAXWELL-THOMAS treat or focus on?
Patients typically see TAYLOR MAXWELL-THOMAS under the specialty Professional Counselor. Clinical services aligned with this taxonomy classification.
Does TAYLOR MAXWELL-THOMAS practice in Missouri?
You will see Lees Summit, Missouri on file for TAYLOR MAXWELL-THOMAS alongside any extra practice locations.
What if Lees Summit, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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