Marilyn Carter-Boucher, CAC3892

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAC3892 Issued in ME

Practice address

1 Delta Dr
Westbrook, ME 04092-4745

Phone

(207) 856-7227

Fax

(207) 856-2112

NPI assigned

Jul 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cap Quality Care, Inc.

  • Methadone Clinic
  • Westbrook, ME
  • NPI 1184762247
  NPD (past)

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1205124161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DELTA DR",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924745",
            "telephone_number": "207-856-7227",
            "fax_number": "207-856-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DELTA DR",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924745",
            "telephone_number": "207-856-7227",
            "fax_number": "207-856-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-BOUCHER",
        "first_name": "MARILYN",
        "credential": "CAC3892",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC3892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cap Quality Care, Inc.
• Caring Is Living LLC
• Sabrina Rose Carluccio, OT
• Lynn Rae Caron, P.T.
• Tracey Lynn Carrier, ATH
• Kelly Caruso
• Josh Carver, PHARMD
• Allison Casciotti, OTR/L
• Kristen E Casey, PA-C
• Caterpillar to Butterfly LLC

• Addiction (Substance Use Disorder) Counselor in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.