Active NPI
Jill Willett-Sewall
- Professional Counselor
- Dyer Brook, ME
National Provider Identifier
1447552278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC2221
- Practice address
- 408 Pond Rd
Dyer Brook, ME 04747-5128 - Phone
- (207) 757-7017
- NPI assigned
- Nov 30, 2010
- Last updated
- Nov 30, 2010
- Sex
- Female
- Sole proprietor
- No
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 | CC2221 | ME | Primary |
Addresses
Primary practice location
408 Pond Rd
Dyer Brook, ME 04747-5128
Mailing address
408 Pond Rd
Dyer Brook, ME 04747-5128
Phone (207) 757-7017
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 |
|---|---|---|---|
| CC2221 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291075200000",
"number": "1447552278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 POND RD",
"city": "DYER BROOK",
"state": "ME",
"postal_code": "047475128",
"telephone_number": "207-757-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 POND RD",
"city": "DYER BROOK",
"state": "ME",
"postal_code": "047475128",
"telephone_number": "207-757-7017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLETT-SEWALL",
"first_name": "JILL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-30",
"last_updated": "2010-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC2221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dyer Brook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.