Active NPI
Adam L. Dubay, MA LCPC
- Professional Counselor
- Saco, ME
National Provider Identifier
1447200324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC 2096
- Practice address
- 23 Water St
Suite 3
Saco, ME 04072-5119 - Phone
- (207) 284-1173
- Fax
- (207) 284-2555
- NPI assigned
- May 11, 2006
- Sex
- Male
- 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 | CC 2096 | ME | Primary |
Addresses
Primary practice location
23 Water St
Suite 3
Saco, ME 04072-5119
Mailing address
2 Arlington St
Kennebunkport, ME 04046-6336
Phone (207) 590-9701
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046753 | Other | ME | ANTHEM BX/BS |
| 247540000 | Medicaid | ME |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC 2096 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1447200324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ARLINGTON ST",
"city": "KENNEBUNKPORT",
"state": "ME",
"postal_code": "040466336",
"telephone_number": "207-590-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 WATER ST",
"address_2": "SUITE 3",
"city": "SACO",
"state": "ME",
"postal_code": "040725119",
"telephone_number": "207-284-1173",
"fax_number": "207-284-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBAY",
"first_name": "ADAM",
"middle_name": "L.",
"credential": "MA LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC 2096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BX/BS",
"identifier": "046753",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "247540000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.