Organization Active NPI

Nantucket Counseling

  • Marriage & Family Therapist
  • Springvale, ME
National Provider Identifier
1164047189
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NANTUCKET COUNSELING
Practice address
469 Main St Ste 101
Springvale, ME 04083-1870
Phone
(207) 651-1287
Fax
(207) 636-8010
NPI assigned
Jun 15, 2020
Last updated
Feb 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Mr. Jonathan Berube, LMFT, CCS, SAPNPI 1760637557
Title
Ceo
Phone
(207) 651-1287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

469 Main St Ste 101
Springvale, ME 04083-1870

Mailing address

469 Main St Ste 101
Springvale, ME 04083-1870
Phone (207) 651-1287

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jberube@nantucketcounseling.com Direct

National Provider Directory

National Provider Directory

Locations

886 Main St
Ste 305
Sanford, ME 04073

469 Main St
Ste 101
Springvale, ME 04083
Phone (207) 651-1287

Interoperability endpoints

  • Direct secure messaging: jberube@nantucketcounseling.com

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1164047189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 MAIN ST STE 101",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831870",
            "telephone_number": "207-651-1287",
            "fax_number": "207-636-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MAIN ST STE 101",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831870",
            "telephone_number": "207-651-1287",
            "fax_number": "207-636-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANTUCKET COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "BERUBE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-651-1287",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT, CCS, SAP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jberube@nantucketcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Primary Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "469 Main St Ste 101",
            "city": "Springvale",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040831870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springvale, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.