Angela Leigh Jarvis
Individual provider Active NPI Peer Specialist · Manchester, ME
NPI 1285325324 · NPPES record last updated May 18, 2023
Key facts
- NPI
- 1285325324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 16 Association Dr
Manchester, ME 04351 - Phone
- (207) 292-5512
- NPI assigned
- May 18, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everest Recovery Centers - Maine | Current |
Accepting new patients | |
| Everest Recovery Centers - Maine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
16 Association Dr
Manchester, ME 04351
Mailing address
55 Key Hill Rd
Greene, ME 04236-3411
Phone (207) 212-6070
Other providers in Manchester, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.