Jonathan E. Madore, BHP
Individual provider Active NPI Mental Health Counselor · Madawaska, ME
NPI 1457794158 · NPPES record last updated Apr 11, 2013
Key facts
- NPI
- 1457794158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 88 Fox St
Suite #101
Madawaska, ME 04756-1352 - Phone
- (207) 728-6341
- Fax
- (207) 728-7762
- NPI assigned
- Apr 11, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aroostook Mental Health Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
88 Fox St
Suite #101
Madawaska, ME 04756-1352
Mailing address
88 Fox St
Suite #101
Madawaska, ME 04756-1352
Phone (207) 728-6341
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010276859 | Medicaid | ME |
Other providers in Madawaska, ME
- Joshua Tanner King
- Monique R. Labbe
- Rhea J. Lagasse
- Ian David Lee
- Erin J Madore
- Mercedes Madore
- Chelsea Elizabeth Martin
- Elise Anne Martin
- Lisa H Martin
- Lori A Martin
All providers in Madawaska, ME · Mental Health 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 Apr 11, 2013. 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.