Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAVERICK MENTAL HEALTH, LLC
NPI 1851190672
Clinic/Center - Mental Health (Including Community Mental Health Center) in Sylvania, OH

Active since March 12, 2025
5151 MAIN ST, SYLVANIA, OH 43560(419) 266-0072(419) 754-2306 Get Directions Write a Review

NPPES record last updated: September 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2026, Jul 31, 2026, Mar 11, 2026 and 4 more (7 updates tracked since 2025).

About Maverick Mental Health, Llc NPPES

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

MAVERICK MENTAL HEALTH, LLC (NPI 1851190672) is a healthcare organization registered as a mental health (including community mental health center) in Sylvania, Ohio and active in the NPI registry since March 2025. The organization maintains a secondary practice location in Toledo and lists Amanda Seabolt, Owner, as its authorized official.

NPPES Registry Identity

NPI1851190672
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMAVERICK MENTAL HEALTH, LLC
Location Address5151 MAIN STSylvania, OH 43560-2184
Mailing Address5151 Main StSylvania, OH 43560-2184 · (419) 266-0072 · Fax (419) 754-2306
Fax(419) 754-2306
Organization SubpartNo
Authorized OfficialAmanda SeaboltOwner · (419) 266-5251
Enumeration DateMarch 12, 2025
Last NPPES UpdateSeptember 12, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2026
✔ NPI 1851190672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
5151 MAIN ST, Sylvania, OH 43560

Secondary Practice Location 1

Location 17110 W Central Ave Ste EToledo, OH 43617-3115 · Phone (419) 266-0072 · Fax (419) 754-2306

Other Identifiers 1

Medicaid0122140OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maverick Mental Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Maverick Mental Health, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1669113403
5151 MAIN ST
Sylvania, OH 43560
(419) 266-0072
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1629535125
5151 MAIN ST
Sylvania, OH 43560
(419) 266-0072
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1295874691
130 S MAIN ST SUITE 218
Bowling Green, OH 43402
(419) 354-2464
✔ PECOS23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Maverick Mental Health, LLC's NPI number?

The NPI number for Maverick Mental Health, LLC is 1851190672. It was assigned to this organization in the NPPES registry on March 12, 2025.

Where is Maverick Mental Health, LLC located?

Maverick Mental Health, LLC is located at 5151 Main St, Sylvania, OH 43560. The listed phone number is (419) 266-0072.

What is Maverick Mental Health, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Maverick Mental Health, LLC enrolled in Medicare?

Yes. Maverick Mental Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maverick Mental Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Maverick Mental Health, LLC, in Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Maverick Mental Health, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Maverick Mental Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maverick Mental Health, LLC was last updated on September 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.