Active NPI
Tamara E. Kiernan, LADC
- Addiction (Substance Use Disorder) Counselor
- Springvale, ME
National Provider Identifier
1245557818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LC1103
- Practice address
- 474 Main St
Springvale, ME 04083-1409 - Phone
- (207) 324-1500
- Fax
- (207) 490-5263
- NPI assigned
- Apr 22, 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 | LC1103 | ME | Primary |
Addresses
Primary practice location
474 Main St
Springvale, ME 04083-1409
Mailing address
78 Atlantic PL
South Portland, ME 04106-2316
Phone (207) 842-7701
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 |
|---|---|---|---|
| LC1103 | 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": "1271894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1245557818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 ATLANTIC PL",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062316",
"telephone_number": "207-842-7701",
"fax_number": "207-842-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 MAIN ST",
"city": "SPRINGVALE",
"state": "ME",
"postal_code": "040831409",
"telephone_number": "207-324-1500",
"fax_number": "207-490-5263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERNAN",
"first_name": "TAMARA",
"middle_name": "E.",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-22",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC1103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springvale, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.