Active NPI
Julie J Blackstone, CADC
- Counselor
- Caribou, ME
National Provider Identifier
1104349786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CAC5800
- Practice address
- 43 Hatch Dr Ste 310
Caribou, ME 04736-2002 - Phone
- (207) 498-6431
- NPI assigned
- Jul 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CAC5800 | ME | Primary |
Addresses
Primary practice location
43 Hatch Dr Ste 310
Caribou, ME 04736-2002
Mailing address
PO Box 1018
Caribou, ME 04736-1018
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
| License | State | Type | Specialty |
|---|---|---|---|
| CAC5800 | ME | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aroostook Mental Health Services, Inc. | Counselor | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Presque Isle, ME
- NPI 1487601399
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1104349786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1018",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047361018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 HATCH DR STE 310",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047362002",
"telephone_number": "207-498-6431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKSTONE",
"first_name": "JULIE",
"middle_name": "J",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "CAC5800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caribou, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.