Nourishing Soul Therapy, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NOURISHING SOUL THERAPY, LLC

Practice address

53 Main St
Topsham, ME 04086-1234

Phone

(207) 844-7685

NPI assigned

Apr 19, 2022

Organization subpart

No

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

Authorized official

Name

Monika S EichlerNPI 1104340744

Title

Owner/Licensed Clinical Social Work

Phone

(207) 844-7685

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monika S Eichler, LCSW

  • Clinical Social Worker
  • Saco, ME
  • NPI 1104340744

  ME

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1316680259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BEAVER WOODS DR",
            "city": "DURHAM",
            "state": "ME",
            "postal_code": "042225491",
            "telephone_number": "207-844-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MAIN ST",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861234",
            "telephone_number": "207-844-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHING SOUL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "EICHLER",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "207-844-7685"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE USING TYPE 1 NPI",
            "identifier": "1104340744",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nourishingsoultherapy.com",
            "affiliation": "N",
            "endpointDescription": "Practice website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "53 Main St",
            "city": "Topsham",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040861234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erika Newman, PHARM.D.
• Polly Sue Nichols, DDS
• Elizabeth Nieuwkerk, PHARMD, RPH
• Northeast Mobile Health Services
• Northern Sun Family Health Care
• Kathleen Irene O'Brien, P.A.-C
• Curtis Alfred Obery, D.M.D.
• Peter E Ogagan, PHARM. D
• Opportunity for Change Counseling Services
• John Joseph Parker, MD

• All providers in Topsham, ME
• Adult Mental Health Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.