Active NPI
Stephanie Mastroianni
- Counselor
- Bethel, ME
National Provider Identifier
1184214041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 217319
- Practice address
- 284 Walkers Mills Rd
Bethel, ME 04217-4844 - Phone
- (207) 824-2136
- NPI assigned
- Jan 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Counselor | 101Y00000X | 217319 | MA | Primary |
Addresses
Primary practice location
284 Walkers Mills Rd
Bethel, ME 04217-4844
Mailing address
PO Box 141
Newry, ME 04261-0141
Phone (508) 317-5214
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mastroiannis@sad44.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217319 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611446400000",
"number": "1184214041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 141",
"city": "NEWRY",
"state": "ME",
"postal_code": "042610141",
"telephone_number": "508-317-5214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 WALKERS MILLS RD",
"city": "BETHEL",
"state": "ME",
"postal_code": "042174844",
"telephone_number": "207-824-2136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTROIANNI",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-24",
"last_updated": "2021-01-24",
"certification_date": "2021-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "217319",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mastroiannis@sad44.org",
"affiliation": "N",
"address_1": "284 Walkers Mills Rd",
"city": "Bethel",
"state": "ME",
"country_code": "US",
"postal_code": "042174844",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bethel, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.