Individual provider Active NPI

Julianna B Pfeiffer, LCPC

  • Mental Health Counselor
  • Camden, ME
National Provider Identifier
1053665273
Registry record updated Nov 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC1171 Issued in ME
Practice address
69 Elm St
Ste 102
Camden, ME 04843-1954
Phone
(207) 236-3777
Fax
(207) 236-3777
NPI assigned
Nov 9, 2012
Last updated
Nov 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC1171 ME Primary

Addresses

Primary practice location

69 Elm St
Ste 102
Camden, ME 04843-1954

Mailing address

69 Elm St
Ste 102
Camden, ME 04843-1954
Phone (207) 236-3777

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

LicenseStateTypeSpecialty
CC1171MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pfeiffer Counseling Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352419200000",
    "number": "1053665273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ELM ST",
            "address_2": "STE 102",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431954",
            "telephone_number": "207-236-3777",
            "fax_number": "207-236-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ELM ST",
            "address_2": "STE 102",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431954",
            "telephone_number": "207-236-3777",
            "fax_number": "207-236-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "JULIANNA",
        "middle_name": "B",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2012-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC1171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; 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.