Portland Recovery Group LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

PORTLAND RECOVERY GROUP LLC

Practice address

1584 Forest Ave
Portland, ME 04103-1314

Phone

(207) 838-4546

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Alexander Philip Coupe

Title

Owner

Phone

(207) 838-4546

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1093492969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CYPRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041032008",
            "telephone_number": "207-838-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 FOREST AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041031314",
            "telephone_number": "207-838-4546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Concord St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041033120",
            "country_code": "US",
            "telephone_number": "207-838-4546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PORTLAND RECOVERY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "COUPE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-838-4546"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portland Public Schools
• Portland Public Schools
• Portland Public Schools
• Portland Public Schools
• Portland Recovery Collective, LLC
• Portland Smiles PA
• Portland Surgical Associates
• Portland West Inc.
• Dawson Postl
• Karen Scutt Potenziano, MSW

• Addiction (Substance Use Disorder) Counselor in Portland, ME
• Providers in Portland, 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 Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.