Individual provider Active NPI

Joan E Leaman

  • Addiction (Substance Use Disorder) Counselor
  • So Windhame, ME
National Provider Identifier
1336380575
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LC3889 Issued in ME
Practice address
17 Mallison Falls Rd
So Windhame, ME 04082
Phone
(207) 893-7142
Fax
(207) 893-7157
NPI assigned
Mar 18, 2009
Last updated
Mar 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC3889 ME Primary

Addresses

Primary practice location

17 Mallison Falls Rd
So Windhame, ME 04082

Mailing address

17 Mallison Falls Rd
So Windham, ME 04082
Phone (207) 893-7142

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
I20190424002151 ME Practitioner - Clinical Social Worker 7315289204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Art of Awareness IncGroup PAC ID 6204075435, 3 clinicians

Practice addresses (Care Compare)

100 Waterman Dr
Suite 201
South Portland, ME 04106-2880
Phone (207) 799-1331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3889MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Awareness, Inc. CurrentSince Mar 17, 2019 Accepting new patients

Locations

100 Waterman Dr
Ste 201
South Portland, ME 04106
Phone (207) 699-4500

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1336380575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MALLISON FALLS RD",
            "city": "SO WINDHAM",
            "state": "ME",
            "postal_code": "04082",
            "telephone_number": "207-893-7142",
            "fax_number": "207-893-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MALLISON FALLS RD",
            "city": "SO WINDHAME",
            "state": "ME",
            "postal_code": "04082",
            "telephone_number": "207-893-7142",
            "fax_number": "207-893-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAMAN",
        "first_name": "JOAN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC3889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.