Active NPI
Counseling and Wellness Therapy, Inc.
- Clinical Social Worker
- Lewiston, ME
National Provider Identifier
1174795405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC9674
- Legal business name
- COUNSELING AND WELLNESS THERAPY, INC.
- Practice address
- 444 Main St
Lewiston, ME 04240-6737 - Phone
- (207) 689-2354
- Fax
- (207) 689-2354
- NPI assigned
- Mar 27, 2008
- Last updated
- Mar 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice L Bureau, LCSW, ACSW
- Title
- Owner
- Phone
- (207) 689-2354
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC9674 | ME | Primary |
Addresses
Primary practice location
444 Main St
Lewiston, ME 04240-6737
Mailing address
444 Main St
Lewiston, ME 04240-6737
Phone (207) 689-2354
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Social Worker
- Lewiston, ME
- NPI 1699769265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1174795405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406737",
"telephone_number": "207-689-2354",
"fax_number": "207-689-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 MAIN ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406737",
"telephone_number": "207-689-2354",
"fax_number": "207-689-2354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING AND WELLNESS THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "BUREAU",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-689-2354",
"authorized_official_credential": "LCSW, ACSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC9674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.