The Umbrella Agency

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

682861 Issued in ME

Legal business name

THE UMBRELLA AGENCY

Practice address

73 Biscay Rd
Damariscotta, ME 04543

Phone

(207) 563-3022

Fax

(207) 563-6146

NPI assigned

Oct 13, 2014

Organization subpart

No

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

Authorized official

Name

Marjorie E Averill, LCSW

Title

President

Phone

(207) 563-3022

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1013311521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "NOBLEBORO",
            "state": "ME",
            "postal_code": "045550038",
            "telephone_number": "207-563-3022",
            "fax_number": "207-563-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 BISCAY RD",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "04543",
            "telephone_number": "207-563-3022",
            "fax_number": "207-563-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UMBRELLA AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "AVERILL",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-563-3022",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "682863",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "682861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013311521",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary A Swanson, LCPC
• Dana Michael Tavares, LMT.,CPT
• Leah Butler Taylor, MOTR/L, CLT
• Allan Sturgus Teel, MD
• Jarrod Tembreull, MD
• Kristen Patricia Thibodeau, DPT
• Daniel Jeffrey Thomas, PHARMD
• Jean A. Thompson McKinley, LCSW
• Brenda Lorraine Thompson, APRN-CNP
• Christopher Tinley, DPT

• Mental Health Counselor in Damariscotta, ME
• Providers in Damariscotta, 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 Feb 9, 2015; 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.