Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386177970 Individual Practitioner Male Practitioner

Maverick Heminger

Counselor • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Maverick Heminger is a registered healthcare professional specializing in Counselor in Olympia, WA. Practice services are available at 711 STATE AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

711 State Ave Ne

Olympia, WA 985063984

Telephone 3609430780
Associated Practice Facility / Clinic
🏢 Community Youth Services Facility NPI 1386997138

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.3 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
423 Specialists

Practicing in Olympia, WA (11556 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: 2022-04-06
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License WA CG60631641

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.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013474030
Amber Moir

Counselor

NPI 1013616838
Kristen Smulovitz , LICSW

Social Worker - Clinical

NPI 1043152242

Licensed Independent Clinical Social Worker

NPI 1073154589
NPI 1073201315
Harrison Bly

Counselor

NPI 1073386884

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location April 06, 2022

Registered at 711 STATE AVE NE, OLYMPIA, WA 985063984 (Tel: 3609430780)

📍
Updated Business Mailing Address April 06, 2022

Registered at 711 STATE AVE NE, OLYMPIA, WA 985063984 (Tel: 3609430780)

📍
Updated Practice Location June 12, 2019

Registered at 1011 10TH AVE SE, OLYMPIA, WA 985011566 (Tel: 3608788248)

📍
Updated Business Mailing Address June 12, 2019

Registered at 1011 10TH AVE SE, OLYMPIA, WA 985011566 (Tel: 3608788248)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2019

Peer Specialist

NPI Profile Active April 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2017

Registered at 2512 W REYNOLDS AVE, CENTRALIA, WA 985314556 (Tel: 3607361064)

📍
Updated Business Mailing Address April 10, 2017

Registered at 2512 W REYNOLDS AVE, CENTRALIA, WA 985314556 (Tel: 3607361064)

👤
Provider Name / Credentials Updated April 10, 2017

Recorded as MAVERICK HEMINGER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2017

Counselor

🟢
Initial NPI Registration & Enumeration April 10, 2017

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: 1386177970
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2017
Last Update: April 06, 2022
Sole Proprietor: No

Mailing Address

711 State Ave Ne

Olympia, WA 985063984

Phone: 3609430780

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.