Innertide Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

INNERTIDE COUNSELING

Practice address

64 Bonnybank Ter
South Portland, ME 04106-6307

Phone

(207) 613-5446

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Ashley Higgins

Title

Owner/Counseling

Phone

(207) 613-5446

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1457074254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BONNYBANK TER",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BONNYBANK TER",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066307",
            "telephone_number": "207-613-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERTIDE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER/COUNSELING",
        "authorized_official_telephone_number": "207-613-5446"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in South Portland, ME
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• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.