Pinetree Behavioral Health, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC1731 Issued in ME

Legal business name

PINETREE BEHAVIORAL HEALTH, LLC

Practice address

263 State St Ste 9
Bangor, ME 04401-5461

Phone

(207) 307-7119

Fax

(207) 307-7129

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Garrison, ED.D., LCPCNPI 1770882961

Title

Owner/LCPC

Phone

(207) 307-7119

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Garrison, ED.D

  • Professional Counselor
  • Waterville, ME
  • NPI 1770882961

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1003224726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 STATE STREET SUITE 9",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015435",
            "telephone_number": "207-307-7119",
            "fax_number": "207-307-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 STATE ST STE 9",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015461",
            "telephone_number": "207-307-7119",
            "fax_number": "207-307-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINETREE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/LCPC",
        "authorized_official_telephone_number": "207-307-7119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D., LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC1731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine Tree Physical Therapy, Inc.
• Pine Tree Urgent Care LLC
• Pine Tree Wholistic Health
• Pinecrest Haven
• Shannon C Piner, FNP
• Karen Pinkham, DPT
• Lindsey M Piper
• Sharon E Piper, PMHNP
• Anish Pithadia, M.D.
• Deborah Macchi Pittis, FNP

• Mental Health Counselor in Bangor, ME
• Providers in Bangor, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.