Active NPI
Wendy Corson, LADC
- Addiction (Substance Use Disorder) Counselor
- Skowhegan, ME
National Provider Identifier
1205148368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LC4644
- Practice address
- 5 Commerce Dr
Skowhegan, ME 04976-4823 - Phone
- (207) 474-8311
- Fax
- (207) 474-5148
- NPI assigned
- Jul 6, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC4644 | ME | Primary |
Addresses
Primary practice location
5 Commerce Dr
Skowhegan, ME 04976-4823
Mailing address
5 Commerce Dr
Skowhegan, ME 04976-4823
Phone (207) 474-8311
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 |
|---|---|---|---|
| LC4644 | ME | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1205148368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 COMMERCE DR",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049764823",
"telephone_number": "207-474-8311",
"fax_number": "207-474-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 COMMERCE DR",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049764823",
"telephone_number": "207-474-8311",
"fax_number": "207-474-5148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORSON",
"first_name": "WENDY",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-06",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC4644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skowhegan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.