Portland Humanistic Therapy LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PORTLAND HUMANISTIC THERAPY LLC

Practice address

602 Brighton Ave
Portland, ME 04102-2324

Phone

(203) 648-8715

NPI assigned

May 29, 2023

Last updated

Feb 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pier Wolf Franzen, LCPCNPI 1790331494

Title

Owner / LCPC

Phone

(203) 648-8715

Specialties & licenses 1

Addresses

Locations

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.

• Pier Wolf Franzen, LCPC

  • Mental Health Counselor
  • Portland, ME
  • NPI 1790331494
  NPD (past) Authorized official

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1184317075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BRIGHTON AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022324",
            "telephone_number": "203-648-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND HUMANISTIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "FRANZEN",
        "authorized_official_first_name": "PIER",
        "authorized_official_middle_name": "WOLF",
        "authorized_official_title_or_position": "OWNER / LCPC",
        "authorized_official_telephone_number": "203-648-8715",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Portland, ME
• Providers in Portland, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.