Active NPI 1508652272 Individual Practitioner Female Practitioner

Carly Jae Maxwell

Counselor - Professional • Fowler, CA

Professional Overview & Biography Verified Profile Summary

Carly Maxwell is a registered healthcare professional specializing in Counselor - Professional in Fowler, CA. Practice services are available at 311 E MERCED ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

311 E Merced St

Fowler, CA 936252316

Telephone 5598929452

Associated Practice Facility / Clinic

🏢 Prodigy Healthcare, Inc. Facility NPI 1497051627

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Fowler, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Fowler, CA (4040 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-22

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CA APCC19936

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License CA 21227

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Juan Castillo

Counselor - Addiction (Substance Use Disorder)

NPI 1003097817

Stephanie Garza

Counselor - Addiction (Substance Use Disorder)

NPI 1003274457

Sarah Mendoza

Counselor - Addiction (Substance Use Disorder)

NPI 1003335720

Elizabeth Gfrantz

Marriage & Family Therapist

NPI 1013476654

Maria Maravilla

Counselor - Addiction (Substance Use Disorder)

NPI 1013621119

Yamilet Castro

Counselor - Addiction (Substance Use Disorder)

NPI 1023829165

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 17, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location April 17, 2025

Registered at 311 E MERCED ST, FOWLER, CA 936252316 (Tel: 5598929452)

📍

Updated Business Mailing Address April 17, 2025

Registered at 311 E MERCED ST, FOWLER, CA 936252316 (Tel: 5598929452)

👤

Provider Name / Credentials Updated April 17, 2025

Recorded as CARLY MAXWELL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2025

Counselor (License #21227 in CA)

🟢

Initial NPI Registration & Enumeration April 17, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508652272

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 17, 2025

Last Update: July 22, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

311 E Merced St

Fowler, CA 936252316

Phone: 5598929452

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.