NPIMap

Organization Active NPI

Central Maine Family Counseling PA

  • Community/Behavioral Health Agency
  • Lewiston, ME
National Provider Identifier
1003001702
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTRAL MAINE FAMILY COUNSELING PA
Practice address
300 Pine St
Lewiston, ME 04240-6309
Phone
(207) 777-3399
Fax
(207) 777-3391
NPI assigned
Sep 6, 2007
Last updated
Oct 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jennifer C Wood, LCSW LADCNPI 1144492562
Title
President
Phone
(207) 777-3399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

300 Pine St
Lewiston, ME 04240-6309

Mailing address

300 Pine St
Lewiston, ME 04240-6309
Phone (207) 777-3399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191218003132 ME Part B Supplier - Clinic/Group Practice 2466886734 Receives reassigned benefits from 3 practitioners
Practice locations: Lewiston, ME

National Provider Directory

National Provider Directory

Locations

407 Alfred St
Biddeford, ME 04005
Phone (207) 283-1427

300 Pine St
Lewiston, ME 04240
Phone (207) 777-3399

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1003001702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PINE ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406309",
            "telephone_number": "207-777-3399",
            "fax_number": "207-777-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PINE ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406309",
            "telephone_number": "207-777-3399",
            "fax_number": "207-777-3391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MAINE FAMILY COUNSELING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-777-3399",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW LADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.