KATHERINE THERESE MAXEY MA
NPI 1194471623
Counselor - Mental Health in Fortuna, CA

Active since February 23, 2022PECOS EnrolledAccepts Medicare Assignment
3429 RENNER DR, FORTUNA, CA 95540(707) 296-9295 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine Therese Maxey Ma NPPES

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

KATHERINE THERESE MAXEY MA (NPI 1194471623) is an individual mental health provider in Fortuna, California, licensed in California (AMFT114333) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194471623
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE THERESE MAXEYCredential: MA
Location Address3429 RENNER DRFortuna, CA 95540-3104
Mailing AddressPo Box 362Cutten, CA 95534-0362
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 23, 2022
NPPES CertifiedFebruary 23, 2022
NPI 1194471623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · AMFT114333
3429 RENNER DR, Fortuna, CA 95540

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katherine Therese Maxey Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739684192
PECOS Enrollment IDI20250925003460
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
3429 RENNER DR
FORTUNA, CA 95540
Family Medicine
3429 RENNER DR
FORTUNA, CA 95540
Case Manager/Care Coordinator
3429 RENNER DR
FORTUNA, CA 95540
Social Worker (Clinical)
3429 RENNER DR
FORTUNA, CA 95540
Case Manager/Care Coordinator
3429 RENNER DR
FORTUNA, CA 95540
Marriage & Family Therapist
3429 RENNER DR
FORTUNA, CA 95540
Social Worker (Clinical)
3429 RENNER DR
FORTUNA, CA 95540
Case Manager/Care Coordinator
3429 RENNER DR
FORTUNA, CA 95540

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 Katherine Maxey's NPI number?

The NPI number for Katherine Maxey is 1194471623. It was assigned to this individual provider in the NPPES registry on February 23, 2022.

Where is Katherine Maxey located?

Katherine Maxey practices at 3429 Renner Dr, Fortuna, CA 95540. The listed phone number is (707) 296-9295.

What is Katherine Maxey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Katherine Maxey enrolled in Medicare?

Yes. Katherine Maxey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Katherine Maxey was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.