Individual provider Active NPI

Heather M Newton Brown, LCPC

  • Counselor
  • Bridgton, ME
National Provider Identifier
1073912960
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
41 Depot St
Bridgton, ME 04009-1241
Phone
(207) 512-0922
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

41 Depot St
Bridgton, ME 04009-1241

Mailing address

41 Depot St
Bridgton, ME 04009-1241
Phone (207) 512-0922

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Bridgton Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 24, 2025 through Mar 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixnest Counseling CurrentSince Nov 8, 2020 Accepting new patients

Locations

41 Depot St
Bridgton, ME 04009
Phone (207) 512-0922

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1073912960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DEPOT ST",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091241",
            "telephone_number": "207-512-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 DEPOT ST",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091241",
            "telephone_number": "207-512-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWTON BROWN",
        "first_name": "HEATHER",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bridgton",
            "affiliation": "N",
            "endpointDescription": "heather@phoenixnestcounseling.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "41 Depot St",
            "city": "Bridgton",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040091241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgton, ME

Sources for this page

Verify at the official NPI Registry.