Ericka Tidmore Travers, LCPC-C, LADC, CCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

XL6874 Issued in ME

Practice address

26 Spring St
Belfast, ME 04915-6817

Phone

(207) 561-7269

NPI assigned

Nov 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ericka Michelle Tidmore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Belfast Counseling LLC

  • Mental Health Counselor
  • Belfast, ME
  • NPI 1982442455

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1124663695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SPRING ST",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156817",
            "telephone_number": "207-561-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SPRING ST",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156817",
            "telephone_number": "207-561-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "ERICKA",
        "middle_name": "TIDMORE",
        "credential": "LCPC-C, LADC, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC7487",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL6874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICKA",
            "last_name": "TIDMORE",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas R. Maycock
• Ann R Thomson, MA ED
• Margo Bonner Thurston, PH.D.
• Michael P Towey, CCC-SLP
• Katrina Tozier, APRN-CNP
• Elissa Irene Tremblay, FNP
• Elmo Glenn Tucker, MD
• Robert Clarence Tucker
• Kim D Turner, DMD
• Linda K Tyer, M.D.

• Mental Health Counselor in Belfast, ME
• Providers in Belfast, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.