Organization Active NPI

Mainehealth

Doing business as Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Biddeford, ME
National Provider Identifier
1356821151
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
680905 Issued in ME
Legal business name
MAINEHEALTH
Doing business as
Counseling Services, Inc.
Practice address
2 Springbrook Dr
Biddeford, ME 04005-9443
Phone
(207) 282-1500
NPI assigned
Aug 21, 2018
Last updated
May 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Authorized official

Name
Lugene Anthony Inzana
Title
Associate Cfo
Phone
(207) 662-3538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 680905 ME Primary

Addresses

Primary practice location

2 Springbrook Dr
Biddeford, ME 04005-9443

Mailing address

78 Atlantic PL
South Portland, ME 04106-2316

Other identifiers 3

IdentifierTypeStateIssuer
003086OtherMEANTHEM BC/BS
105330000MedicaidME
1058005OtherMECIGNA BEHAVIORAL HEALTH

Other names 1

  • COUNSELING SERVICES, INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Maine Medical Assoc85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1356821151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 ATLANTIC PL",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SPRINGBROOK DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059443",
            "telephone_number": "207-282-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "INZANA",
        "authorized_official_first_name": "LUGENE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "ASSOCIATE CFO",
        "authorized_official_telephone_number": "207-662-3538"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "ME",
            "license": "680905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "003086",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105330000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1058005",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNSELING SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COUNSELING SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biddeford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.