Jessica Rosse Orne, CADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bangor, ME
NPI 1154057735 · NPPES record last updated Jul 27, 2022
Key facts
- NPI
- 1154057735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CAC8088 (ME)
- Practice address
- 659 Hogan Rd
Bangor, ME 04401-3626 - Phone
- (207) 973-0400
- Fax
- (207) 973-1881
- NPI assigned
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC8088 | ME | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Treatment of Maine LP | Current |
Accepting new patients |
Locations
659 Hogan Rd
Bangor, ME 04401
Phone (207) 973-0400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC8088 | ME | Yes |
Addresses
Primary practice location
659 Hogan Rd
Bangor, ME 04401-3626
Mailing address
659 Hogan Rd
Bangor, ME 04401-3626
Phone (207) 973-0400
NPI Registry JSON
{
"created_epoch": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1154057735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 HOGAN RD",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013626",
"telephone_number": "207-973-0400",
"fax_number": "207-973-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 HOGAN RD",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013626",
"telephone_number": "207-973-0400",
"fax_number": "207-973-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORNE",
"first_name": "JESSICA",
"middle_name": "ROSSE",
"name_prefix": "Mrs.",
"credential": "CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-27",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "CAC8088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.