Individual provider Active NPI

Nicholas Pitarys, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • South Paris, ME
National Provider Identifier
1326464322
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAC5531 Issued in ME
Practice address
39 Western Ave
Suite B
South Paris, ME 04281-1412
Phone
(207) 743-1677
NPI assigned
Mar 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC5531 ME Primary
Mental Health Counselor 101YM0800X LM12288 ME

Addresses

Primary practice location

39 Western Ave
Suite B
South Paris, ME 04281-1412

Mailing address

39 Pismire Mountain Rd
Raymond, ME 04071-6176
Phone (207) 310-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CAC5531MEMDAddiction (Substance Use Disorder) Counselor
LM12288MEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1326464322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PISMIRE MOUNTAIN RD",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716176",
            "telephone_number": "207-310-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WESTERN AVE",
            "address_2": "SUITE B",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "042811412",
            "telephone_number": "207-743-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITARYS",
        "first_name": "NICHOLAS",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC5531",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LM12288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Paris, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.