Mindy Sue Louise Bubar, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAC5456 Issued in ME

Practice address

8 Old Mill Rd
Ellsworth, ME 04605

Phone

(207) 667-3210

NPI assigned

Mar 11, 2014

Last updated

Mar 11, 2014By 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 1

Addresses

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.

• Open Door Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ellsworth, ME
  • NPI 1275774523
  NPD (past)
• Open Door Recovery Center

  • Public Health or Welfare Agency
  • Ellsworth, ME
  • NPI 1538152186
  NPD (past)

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1255757571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "04605",
            "telephone_number": "207-667-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 OLD MILL RD",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "04605",
            "telephone_number": "207-667-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBAR",
        "first_name": "MINDY SUE",
        "middle_name": "LOUISE",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC5456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Brown
• Emily Greenwood Brown, WHNP
• Meaghan M Brown, D.C.,LIC. AC,DIP. AC
• Olivia Brown, MHRT CSP
• Tarra Bryant
• Bucksport Regional Health Center
• Bucksport Regional Health Center
• Kimberly Ann Burgess, LSW-C, BHP
• Brittany Marie Burke, RN
• Ashley Burns, LCPC-C

• Addiction (Substance Use Disorder) Counselor in Ellsworth, ME
• Providers in Ellsworth, 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 Mar 11, 2014; 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.