Active NPI
Svetla M. Popova, LCPC
- Counselor
- Portland, ME
National Provider Identifier
1215997788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CC2022
- Practice address
- 194 Massachusetts Ave
Portland, ME 04102-2518 - Phone
- (207) 761-3883
- NPI assigned
- Mar 27, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CC2022 | ME | Primary |
Addresses
Primary practice location
194 Massachusetts Ave
Portland, ME 04102-2518
Mailing address
194 Massachusetts Ave
Portland, ME 04102-2518
Phone (207) 761-3883
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046941 | Other | ME | ANTHEM |
| 209860000 | Other | ME | ME CARE PROVIDER'S NUMBER |
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 |
|---|---|---|---|
| CC2022 | ME | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1215997788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "194 MASSACHUSETTS AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022518",
"telephone_number": "207-761-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 MASSACHUSETTS AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022518",
"telephone_number": "207-761-3883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPOVA",
"first_name": "SVETLA",
"middle_name": "M.",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "CC2022",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "046941",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ME CARE PROVIDER'S NUMBER",
"identifier": "209860000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.