Active NPI
Justin Clark Cialfi, LCPC-C
- Professional Counselor
- Biddeford, ME
National Provider Identifier
1174807374
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 19, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL3795
- Practice address
- 6D Wellspring Road
Biddeford, ME 04005 - Phone
- (207) 590-5384
- Fax
- (207) 282-7316
- NPI assigned
- Oct 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL3795 | ME | Primary |
Addresses
Primary practice location
6D Wellspring Road
Biddeford, ME 04005
Mailing address
16 South Evergreen Lane
Arundel, ME 04046
Phone (207) 590-5384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL3795 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1174807374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SOUTH EVERGREEN LANE",
"city": "ARUNDEL",
"state": "ME",
"postal_code": "04046",
"telephone_number": "207-590-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6D WELLSPRING ROAD",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "04005",
"telephone_number": "207-590-5384",
"fax_number": "207-282-7316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIALFI",
"first_name": "JUSTIN",
"middle_name": "CLARK",
"name_prefix": "Mr.",
"credential": "LCPC-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL3795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.