Active NPI
Amanda Thomas, LCPC
- Professional Counselor
- Bangor, ME
National Provider Identifier
1033274352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC2468
- Practice address
- 334 Maple St
Bangor, ME 04401-4036 - Phone
- (207) 671-6124
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC2468 | ME | Primary |
Addresses
Primary practice location
334 Maple St
Bangor, ME 04401-4036
Mailing address
334 Maple St
Bangor, ME 04401-4036
Phone (207) 671-6124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC2468 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1033274352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 MAPLE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014036",
"telephone_number": "207-671-6124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 MAPLE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014036",
"telephone_number": "207-671-6124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "AMANDA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC2468",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.