Active NPI
David Charles Allender, LCPC
- Professional Counselor
- Augusta, ME
National Provider Identifier
1356441653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC2732
- Practice address
- 49 Oak Street
Augusta, ME 04330 - Phone
- (207) 441-1314
- Fax
- (207) 622-6290
- NPI assigned
- Sep 25, 2006
- Last updated
- Jan 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC2732 | ME | Primary |
Addresses
Primary practice location
49 Oak Street
Augusta, ME 04330
Mailing address
533 N Mountain Rd
Somerville, ME 04348-3305
Phone (207) 441-1314
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79840 | Other | ME | NAT'L BD.CERT.COUNSELORS |
| 316560099 | Medicaid | ME |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CC2732 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231113600000",
"number": "1356441653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 N MOUNTAIN RD",
"city": "SOMERVILLE",
"state": "ME",
"postal_code": "043483305",
"telephone_number": "207-441-1314",
"fax_number": "207-622-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 OAK STREET",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "04330",
"telephone_number": "207-441-1314",
"fax_number": "207-622-6290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLENDER",
"first_name": "DAVID",
"middle_name": "CHARLES",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2009-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC2732",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NAT'L BD.CERT.COUNSELORS",
"identifier": "79840",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "316560099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.