The Canvas of Life Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE CANVAS OF LIFE COUNSELING LLC

Practice address

179 Lisbon St Ste 201
Lewiston, ME 04240-7248

Phone

(207) 241-9332

Fax

(207) 782-9011

NPI assigned

Feb 28, 2023

Last updated

Dec 5, 2024By 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

Ms. Tiffany R Manson, LCPC, CADC, CGPNPI 1649717380

Title

Owner, Psychotherapist

Phone

(207) 241-9332

Specialties & licenses 4

Addresses

Other names 1

• The Canvas of Life Counseling LLC Other name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 6

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.

• Tiffany R. Manson, LCPC,CADC

  • Professional Counselor
  • Lewiston, ME
  • NPI 1649717380

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Lynn A Walkiewicz, MSW, PH.D.

  • Social Worker
  • Lewiston, ME
  • NPI 1386420297
  Medicare reassignment NPD
• Tracie Lynn Giambra-Vye, LCPC-C

  • Professional Counselor
  • Lewiston, ME
  • NPI 1548086705
  NPD
• Amanda Perez, LMSW-CC

  • Social Worker
  • Lewiston, ME
  • NPI 1225902679

  Single Specialty

  NPD
• Zoe Petit, LMSW-CC

  • Clinical Social Worker
  • Lewiston, ME
  • NPI 1114816873
  NPD
• Shelby Carver, LCPC-C

  • Professional Counselor
  • Lewiston, ME
  • NPI 1851201511
  NPD (past)

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1083313902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 LISBON ST STE 201",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407248",
            "telephone_number": "207-241-9332",
            "fax_number": "207-782-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 LISBON ST STE 201",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407248",
            "telephone_number": "207-241-9332",
            "fax_number": "207-782-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CANVAS OF LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "MANSON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "207-241-9332",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC, CADC, CGP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Canvas of Life Counseling LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Canvas of Life Counseling LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shan Martin Teixeira, PT, MOMT, OCS
• William A Temeng
• Erwey Albert Teng, MD
• Heather R Teng, PA
• Corbin Jean Terry, DDS
• The Chapman House
• The Grace Services LLC
• Julie Marie Thebarge, PT
• Owen Theriault, PHARMD.
• Rowan Theriault, OTR/L

• Professional Counselor in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.