Individual provider Active NPI

Brandi Masten, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Lewiston, ME
National Provider Identifier
1053678714
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MH605962 Issued in ME
Practice address
105 Middle St
Suite 1
Lewiston, ME 04240-7037
Phone
(207) 795-0149
NPI assigned
Apr 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MH605962 ME Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X SA606205 ME

Addresses

Primary practice location

105 Middle St
Suite 1
Lewiston, ME 04240-7037

Mailing address

53 George St
Portland, ME 04103-4602
Phone (207) 210-0148

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
MH605962MEMDAddiction (Substance Use Disorder) Counselor
SA606205MEMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1053678714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 GEORGE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034602",
            "telephone_number": "207-210-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MIDDLE ST",
            "address_2": "SUITE 1",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407037",
            "telephone_number": "207-795-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTEN",
        "first_name": "BRANDI",
        "name_prefix": "Mrs.",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "MH605962",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "SA606205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.