Organization Active NPI

SCRX-Lifetransitions

  • Mental Health Counselor
  • Portland, ME
National Provider Identifier
1043611338
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC-2475 Issued in ME
Legal business name
SCRX-LIFETRANSITIONS
Practice address
222 Saint John St Ste 208
Portland, ME 04102-3063
Phone
(207) 891-8618
NPI assigned
Sep 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
David Alan PatchNPI 1821258625
Title
Owner
Phone
(207) 891-8618

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X CC-2475 ME Primary

Addresses

Primary practice location

222 Saint John St Ste 208
Portland, ME 04102-3063

Mailing address

222 Saint John St Ste 208
Portland, ME 04102-3063
Phone (207) 891-8618

Other names 1

  • SCRX-LifeTransitions Former legal business name

National Provider Directory

National Provider Directory

Locations

222 Saint John St
Ste 210
Portland, ME 04102
Phone (207) 671-5978

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1043611338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SAINT JOHN ST STE 208",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023063",
            "telephone_number": "207-891-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SAINT JOHN ST STE 208",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023063",
            "telephone_number": "207-891-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRX-LIFETRANSITIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-06",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "PATCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-891-8618"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC-2475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCRX-LifeTransitions",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.