Organization Active NPI

Autumn Schulz LLC

  • Professional Counselor
  • Falmouth, ME
National Provider Identifier
1164294476
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
AUTUMN SCHULZ LLC
Practice address
173 Gray Rd
Falmouth, ME 04105-2514
Phone
(207) 344-4299
NPI assigned
Oct 30, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Autumn Schulz, LCPCNPI 1891076311
Title
Sole Proprietor
Phone
(207) 344-4299

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

173 Gray Rd
Falmouth, ME 04105-2514

Mailing address

PO Box 6126
Falmouth, ME 04105-6126
Phone (207) 344-4299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112004027 ME Part B Supplier - Clinic/Group Practice 2062864150 Receives reassigned benefits from 1 practitioner
Practice locations: Portland, ME

National Provider Directory

National Provider Directory

Locations

2 Portland Sq
Ste 210
Portland, ME 04101
Phone (207) 344-4299

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": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1164294476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6126",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041056126",
            "telephone_number": "207-344-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 GRAY RD",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052514",
            "telephone_number": "207-344-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN SCHULZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "207-344-4299",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.