Individual provider Active NPI

Andrew W Jarman, LCPC

  • Counselor
  • Raymond, ME
National Provider Identifier
1376853796
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CC4097 Issued in ME
Practice address
1288 Roosevelt TRL
Suite 5B
Raymond, ME 04071-6660
Phone
(207) 624-1132
NPI assigned
Oct 19, 2010
Last updated
Aug 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CC4097 ME Primary

Addresses

Primary practice location

1288 Roosevelt TRL
Suite 5B
Raymond, ME 04071-6660

Mailing address

32 Passaconaway Rd
Waterford, ME 04088-3506
Phone (207) 624-1132

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

LicenseStateTypeSpecialty
CC4097MEMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1376853796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PASSACONAWAY RD",
            "city": "WATERFORD",
            "state": "ME",
            "postal_code": "040883506",
            "telephone_number": "207-624-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 ROOSEVELT TRL",
            "address_2": "SUITE 5B",
            "city": "RAYMOND",
            "state": "ME",
            "postal_code": "040716660",
            "telephone_number": "207-624-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARMAN",
        "first_name": "ANDREW",
        "middle_name": "W",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "CC4097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.