Nicholas Smith, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC4610 Issued in ME

Practice address

273 Main St
Suite 4
Yarmouth, ME 04096-6753

Phone

(207) 239-5027

NPI assigned

Feb 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Nicholas Creighton Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Royal River Counseling LLC

  • Professional Counselor
  • Yarmouth, ME
  • NPI 1093319725

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1306186242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 MAIN ST",
            "address_2": "SUITE 4",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 MAIN ST",
            "address_2": "SUITE 4",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966753",
            "telephone_number": "207-239-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NICHOLAS",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-28",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC4610",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC5774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLAS",
            "last_name": "CREIGHTON",
            "credential": "LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica L Sirois, LCPC-C
• Josie Marie Skavdahl, ND, CPM
• Molly Skog, RN
• Thaddeus J. Skrzynecki III, D.C.
• Smilestories Maine PA
• Terry Wayne Smith, OD
• Alix Snyder, DC
• Susan Blackwell Soule, LICSW
• Molly Woodruff Sowles
• Gary William Starbuck, D.D.S.

• Professional Counselor in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.