Active NPI
William Bucklin, CADC
- Addiction (Substance Use Disorder) Counselor
- Vassalboro, ME
National Provider Identifier
1396248258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LC6752
- Practice address
- 335 Main St Apt 5
Vassalboro, ME 04989-3525 - Phone
- (207) 509-4193
- NPI assigned
- Mar 16, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CCS7991 | ME | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC6752 | ME | Primary |
Addresses
Primary practice location
335 Main St Apt 5
Vassalboro, ME 04989-3525
Mailing address
335 Main St Apt 5
Vassalboro, ME 04989-3525
Phone (207) 314-8440
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 |
|---|---|---|---|
| CCS7991 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| LC6752 | ME | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1396248258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 MAIN ST APT 5",
"city": "VASSALBORO",
"state": "ME",
"postal_code": "049893525",
"telephone_number": "207-314-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 MAIN ST APT 5",
"city": "VASSALBORO",
"state": "ME",
"postal_code": "049893525",
"telephone_number": "207-509-4193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLIN",
"first_name": "WILLIAM",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-16",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "CCS7991",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC6752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vassalboro, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.