Active NPI
Heidi Brewer
- Professional Counselor
- Blaine, ME
National Provider Identifier
1396524807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL7017
- Practice address
- 130 E- Plantation Rd
Blaine, ME 04734-4261 - Phone
- (207) 227-2806
- NPI assigned
- Sep 25, 2023
- Last updated
- Sep 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL7017 | ME | Primary |
Addresses
Primary practice location
130 E- Plantation Rd
Blaine, ME 04734-4261
Mailing address
PO Box 85
Blaine, ME 04734-0085
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 |
|---|---|---|---|
| XL7017 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1396524807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 85",
"city": "BLAINE",
"state": "ME",
"postal_code": "047340085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 E- PLANTATION RD",
"city": "BLAINE",
"state": "ME",
"postal_code": "047344261",
"telephone_number": "207-227-2806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "HEIDI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL7017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blaine, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.