John Andreas Dahle, ACMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

11 Mill St
Houlton, ME 04730-1877

Phone

(207) 532-6523

Fax

(207) 532-3873

NPI assigned

Jul 19, 2017

Sex

Male

Sole proprietor

No

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.

• Aroostook Mental Health Services, Inc.

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

  Counselor, ME

  Medicare reassignment Care Compare group NPD
• Four Corners Community Behavioral Health Inc

  • Methadone Clinic
  • Price, UT
  • NPI 1164048492
  NPD (past)
• Four Corners Community Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Price, UT
  • NPI 1487715330
  NPD (past)

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aroostook Mental Health Services, Inc. 21 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2024.

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1245753441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845010867",
            "telephone_number": "435-637-7200",
            "fax_number": "435-637-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MILL ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301877",
            "telephone_number": "207-532-6523",
            "fax_number": "207-532-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLE",
        "first_name": "JOHN",
        "middle_name": "ANDREAS",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "10404540-6009",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark T Cucuzzella, M.D.
• Brian H Culverhouse
• Jordan Cummings, CADC
• Robert Cunningham, MHRT-CSP
• Paula B. Cyr, LCSW & CADC
• Marie Day
• Chelsea Gentle Delucca, PHARMD
• Desiree A Deprey, CNA
• Ekatherina Diadiuk, FNP-C
• Kelby A Dobbins, MHRT-CSP

• All providers in Houlton, ME
• Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.