Jane Eagles, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CC2118 Issued in ME

Practice address

24 Mortland Road
Searsport, ME 04974

Phone

(207) 548-2440

Fax

(207) 548-2476

NPI assigned

Mar 15, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Jane Van Handel Eagles Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1417926163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MOUNTAIN ST",
            "city": "NORTHPORT",
            "state": "ME",
            "postal_code": "048494008",
            "telephone_number": "207-548-2440",
            "fax_number": "207-548-2476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MORTLAND ROAD",
            "city": "SEARSPORT",
            "state": "ME",
            "postal_code": "04974",
            "telephone_number": "207-548-2440",
            "fax_number": "207-548-2476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLES",
        "first_name": "JANE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "CC2118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302720099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "EAGLES",
            "middle_name": "VAN HANDEL",
            "prefix": "DR.",
            "credential": "M.ED., PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Counselor in Searsport, ME
• Providers in Searsport, ME by specialty
• Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.