Heather H Beaulieu, CADC & MHRT-CSP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3875 Issued in ME

Practice address

24 Sweden St
Caribou, ME 04736-2127

Phone

(207) 493-3361

Fax

(207) 492-4889

NPI assigned

Sep 27, 2007

Last updated

Oct 11, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aroostook Mental Health Services, Inc.

  dba Amhc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Presque Isle, ME
  • NPI 1487601399
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1235326810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SWEDEN ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362127",
            "telephone_number": "207-493-3361",
            "fax_number": "207-492-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SWEDEN ST",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362127",
            "telephone_number": "207-493-3361",
            "fax_number": "207-492-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "HEATHER",
        "middle_name": "H",
        "credential": "CADC & MHRT-CSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "3875",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE CARE",
            "identifier": "103850000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diyanah Bani Hani, MD
• Cindy Marie Barker, MSW-CC
• Kayla Barton
• Robert Bassett, M.D.
• Rashmi Bawa, M.D.
• Marco Beaulieu, RPH
• Alexis Bell, MS, OTR/L
• Bernard Hade
• Patricia T. Bernardino, PT
• Austin Bernier, PTA

• Addiction (Substance Use Disorder) Counselor in Caribou, ME
• Providers in Caribou, 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 Oct 11, 2012; 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.