Independence Project LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

467117 Issued in ME

Legal business name

INDEPENDENCE PROJECT LLC

Practice address

96 Harlow St
Suite 340
Bangor, ME 04401-4925

Phone

(207) 945-9777

Fax

(207) 945-9777

NPI assigned

Jan 26, 2009

Last updated

Jan 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Edward Pelkey, LADCNPI 1871728618

Title

Administrator/Member/Owner

Phone

(207) 945-9777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David E Pelkey, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Bangor, ME
  • NPI 1871728618
  NPD (past) Authorized official

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1073751277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 HARLOW ST",
            "address_2": "SUITE 340",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014925",
            "telephone_number": "207-945-9777",
            "fax_number": "207-945-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 HARLOW ST",
            "address_2": "SUITE 340",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014925",
            "telephone_number": "207-945-9777",
            "fax_number": "207-945-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE PROJECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "PELKEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR/MEMBER/OWNER",
        "authorized_official_telephone_number": "207-945-9777",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "467117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431482300",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Njikoka Igwe, PMHNP
• Patience Ihedinma Ikemba, PMHNP-BC
• Sandra Ilaka-Chibuluzo, M.D.
• In Context Psychotherapy & Consultation, P.C.
• Erik Inbar
• Independent Medical Associates, PA
• Independent Service Coordination for Me, LLC
• Gabrielle Ingerson, PA
• Jillian Mary Beal Ingerson, LMT
• Diana Mary Inkova, CADC

• Addiction (Substance Use Disorder) Counselor in Bangor, ME
• Providers in Bangor, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.