JACOB B MAYNARD NPI 1346180296

NPI Information

  • NPI: 1346180296
  • Provider Name: JACOB B MAYNARD
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 5819 WINDING HILLS LANE #133
    HIXSON, TN
    ZIP 37343
  • Phone: (423) 933-2575

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NPI Details

Jacob B Maynard is a counselor in Hixson, TN. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jacob B Maynard NPI is 1346180296. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5819 WINDING HILLS LANE #133
HIXSON, TN
ZIP 37343
Phone: (423) 933-2575

The enumeration date for this NPI number is 3/31/2026 and was last updated on 3/31/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorTENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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