The Integrated Life

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

THE INTEGRATED LIFE

Practice address

28 State St Ste 5
Gorham, ME 04038-1147

Phone

(207) 894-4278

NPI assigned

Aug 12, 2022

Organization subpart

No

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

Authorized official

Name

Jamie RacineNPI 1508103052

Title

Owner/Director

Phone

(207) 894-4278

Specialties & licenses 1

Addresses

Other names 1

• The Integrated Life Other name

Electronic endpoints 1

Tax ID family

Jamie Racine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Integrated Life LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gorham, ME
  • NPI 1972245728
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie L Racine, LCSW

  • Mental Health Counselor
  • Gorham, ME
  • NPI 1508103052
  NPD Authorized official

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1164150520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 STATE ST STE 5",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381147",
            "telephone_number": "207-894-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 STATE ST STE 5",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381147",
            "telephone_number": "207-894-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INTEGRATED LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "RACINE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "207-894-4278"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.getintegrated.org",
            "affiliation": "N",
            "address_1": "28 State St Ste 5",
            "city": "Gorham",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040381147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Integrated Life",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Kate Sweet, LPN
• Alison Swiggard, RD
• Jaime Marie Tardif, LCSW
• Madeline Faye Testa
• The Family Center of Maine
• The Maine Chatterbox, LLC
• Theriault Chiropractic & Associates PC
• Heather Anna Theriault, D.C.
• Melanie Thompson-Clarke, M.AC., LIC.AC.
• Terri Lynn Thompson, LCPC

• Counselor in Gorham, ME
• Providers in Gorham, ME by specialty
• Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.