Renee Perreault, CADC, LMT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAC7394 Issued in ME

Practice address

509 Ocean Ave
Portland, ME 04103-4937

Phone

(207) 518-6041

NPI assigned

Jul 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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 and National Provider Directory roles.

• Casco Medical Group

  • Obstetrics & Gynecology Physician
  • Portland, ME
  • NPI 1205924594
  NPD (past)

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1376830752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SAINT JOHN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023000",
            "telephone_number": "072-560-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034937",
            "telephone_number": "207-518-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREAULT",
        "first_name": "RENEE",
        "credential": "CADC, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC7394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sasha Syreeta Perkins, LCSW
• Kristy Perkowski, DO
• Hannah Perl, MD
• Francesca Kauffmann Perlov, LCSW
• Paul Andrew Perreault, D.C
• Joyce E Perrey, LCSW
• Andrew D Perron, M.D.
• Mark Stephen Perron, M.S.,L.C.P.C.
• Nicholas Edward Perros, M.D.
• Stephen George Perros

• Addiction (Substance Use Disorder) Counselor in Portland, ME
• Providers in Portland, 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 May 4, 2021; 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.