ROXANNE MAYNARD LPC, LCDC
NPI 1407102718
Counselor - Professional in San Antonio, TX

Active since July 24, 2012
4203 GARDENDALE ST STE C214, SAN ANTONIO, TX 78229(210) 243-0693(877) 287-0053 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2018, Aug 10, 2018, Jun 16, 2018 and 4 more (7 updates tracked since 2015).

About Roxanne Maynard Lpc, Lcdc NPPES

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

ROXANNE MAYNARD LPC, LCDC (NPI 1407102718) is an individual professional provider in San Antonio, Texas, licensed in Texas (73188) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1407102718
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameROXANNE MAYNARDCredential: LPC, LCDC
Location Address4203 GARDENDALE ST STE C214San Antonio, TX 78229
Mailing Address4203 Gardendale St Ste C214San Antonio, TX 78229-3174 · (210) 243-0693 · Fax (877) 287-0053
Fax(877) 287-0053
Sole ProprietorYes
Enumeration DateJuly 24, 2012
Last NPPES UpdateSeptember 4, 20187 updates tracked since enumeration
NPI 1407102718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in TX · 73188 Licensed in OK · 5444
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 73188 (TX)
4203 GARDENDALE ST STE C214, San Antonio, TX 78229

Other Identifiers 1

Medicaid351033101TX

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
4203 GARDENDALE ST STE C214
SAN ANTONIO, TX 78229
Counselor (Professional)
4203 GARDENDALE ST STE C214
SAN ANTONIO, TX 78229

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 Roxanne Maynard's NPI number?

The NPI number for Roxanne Maynard is 1407102718. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Roxanne Maynard located?

Roxanne Maynard practices at 4203 Gardendale St Ste C214, San Antonio, TX 78229. The listed phone number is (210) 243-0693.

What is Roxanne Maynard'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 Roxanne Maynard was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.