JERRICA NICOLE MAXEY
NPI 1033046065
Counselor - Professional in Longview, TX

Active since May 05, 2026
705 E MARSHALL AVE STE 5003, LONGVIEW, TX 75601(903) 470-7117 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerrica Nicole Maxey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRICA NICOLE MAXEY (NPI 1033046065) is an individual professional provider in Longview, Texas, licensed in Texas (98406) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1033046065
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJERRICA NICOLE MAXEY
Location Address705 E MARSHALL AVE STE 5003Longview, TX 75601-5530
Mailing Address419 Margie Bush RdHallsville, TX 75650-7701 · (903) 452-0340
Sole ProprietorYes
Enumeration DateMay 5, 2026
NPPES CertifiedMay 5, 2026
NPI 1033046065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 98406
705 E MARSHALL AVE STE 5003, Longview, TX 75601

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrica Maxey's NPI number?

The NPI number for Jerrica Maxey is 1033046065. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Where is Jerrica Maxey located?

Jerrica Maxey practices at 705 E Marshall Ave Ste 5003, Longview, TX 75601. The listed phone number is (903) 470-7117.

What is Jerrica Maxey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jerrica Maxey was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.