Blaine B Linton, LADC, CCS

Key facts

NPI: 1447585906
Entity type: Individual (NPI type 1)
Primary specialty: Addiction (Substance Use Disorder) Counselor 101YA0400X
License: LC3729 (ME)
Practice address: 37 Park St Ste 302
Lewiston, ME 04240-7195
Phone: (207) 333-1080
Fax: (207) 777-4649
NPI assigned: Oct 16, 2009
Sex: Male
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Avalon Services LLC Community/Behavioral Health Agency · Lewiston, ME · NPI 1659923068

NPD Authorized official ADDICTION (SUBSTANCE USE DISORDER)
Central Maine Family Counseling PA Community/Behavioral Health Agency · Lewiston, ME · NPI 1003001702

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
LC3729	ME	MD	Addiction (Substance Use Disorder) Counselor

Practice roles

Organization	Specialty	Status	New patients
Avalon Services LLC	Addiction (Substance Use Disorder)	Current since Feb 23, 2020	Accepting new patients
Central Maine Family Counseling PA		Past	Accepting new patients

Locations

37 Park St
Ste 302
Lewiston, ME 04240
Phone (207) 333-1080

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Addiction (Substance Use Disorder) Counselor	101YA0400X	LC3729	ME	Yes

Addresses

Primary practice location

37 Park St Ste 302
Lewiston, ME 04240-7195

Mailing address

37 Park St Ste 302
Lewiston, ME 04240-7195
Phone (207) 333-1080

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 6, 2021.

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1447585906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PARK ST STE 302",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407195",
            "telephone_number": "207-333-1080",
            "fax_number": "207-777-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PARK ST STE 302",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407195",
            "telephone_number": "207-333-1080",
            "fax_number": "207-777-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINTON",
        "first_name": "BLAINE",
        "middle_name": "B",
        "credential": "LADC, CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-16",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC3729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

All providers in Lewiston, ME · Addiction (Substance Use Disorder) Counselor in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.