Farside Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

FARSIDE COUNSELING, LLC

Practice address

443 Western Ave # 1034
South Portland, ME 04106-1726

Phone

(207) 807-7190

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Amanda Morais, LCSWNPI 1831934330

Title

Owner

Phone

(207) 807-7190

Specialties & licenses 1

Addresses

Other names 1

• Amanda Morais, LCSW Other name

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Morais, LCSW

  • Clinical Social Worker
  • South Portland, ME
  • NPI 1831934330
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1194551093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 WESTERN AVE # 1034",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 WESTERN AVE # 1034",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041061726",
            "telephone_number": "207-807-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARSIDE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "MORAIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-807-7190",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Morais, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Family Community Care LLC
• Family Health Center of Southern Maine, P.a.
• Shannon Belinda Farr, OD
• Andrew Farrell
• Cassandra Marie Farrell, DO
• Elizabeth A Faulkner, LMSW
• Laurie Matson Fear, LADC
• Shannon Feeley, LCPC-C
• Ross Feller, M.D.
• Jacob Paul Felton, PHARMD

• Clinical Social Worker in South Portland, ME
• Providers in South Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.