Individual provider Active NPI

Frankie Eaton Plymale, LCSW

  • Counselor
  • Portland, ME
National Provider Identifier
1275735318
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC3573 Issued in ME
Practice address
121 Emery St
Portland, ME 04102-3731
Phone
(207) 774-6814
NPI assigned
Jun 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC3573 ME Primary

Addresses

Primary practice location

121 Emery St
Portland, ME 04102-3731

Mailing address

121 Emery St
Portland, ME 04102-3731
Phone (207) 774-6814

Other identifiers 1

IdentifierTypeStateIssuer
010718OtherMEPROVIDER FOR ANTHEM BLUE

Other names 1

  • Miss Frankie Jean Eaton Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140808000484 ME Practitioner - Clinical Psychologist 5395780571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

449 Forest Ave
Suite 213
Portland, ME 04101-2008
Phone (207) 650-8677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3573MEMDCounselor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275735318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EMERY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023731",
            "telephone_number": "207-774-6814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EMERY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023731",
            "telephone_number": "207-774-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLYMALE",
        "first_name": "FRANKIE",
        "middle_name": "EATON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "LC3573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER FOR ANTHEM BLUE",
            "identifier": "010718",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANKIE",
            "last_name": "EATON",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

Verify at the official NPI Registry.