Charles P Zafonte, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC27 Issued in ME

Practice address

272 W Main St
Ste 101
Fort Kent, ME 04743-1281

Phone

(207) 834-5430

Fax

(207) 834-2332

NPI assigned

Oct 28, 2009

Last updated

Oct 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Life by Design, PA

  • Clinical Social Worker
  • Presque Isle, ME
  • NPI 1053345918
  NPD (past)

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1356677215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047690509",
            "telephone_number": "207-764-6825",
            "fax_number": "207-764-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 W MAIN ST",
            "address_2": "STE 101",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431281",
            "telephone_number": "207-834-5430",
            "fax_number": "207-834-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFONTE",
        "first_name": "CHARLES",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Main Pharmacy Inc
• White Smiles Family Dentistry
• Jessica Plourde Wilson, MSW LCSW
• Matthew H. Wilson, PMH-NP
• Raymond Wong Jr., DO

• Addiction (Substance Use Disorder) Counselor in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.