Active NPI
Gavin Pickering, M.ED.
- Professional Counselor
- Orono, ME
National Provider Identifier
1467878645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL4053
- Practice address
- 12 Park St
Apt 2
Orono, ME 04473-4405 - Phone
- (207) 322-4038
- NPI assigned
- Mar 11, 2014
- 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 | XL4053 | ME | Primary |
Addresses
Primary practice location
12 Park St
Apt 2
Orono, ME 04473-4405
Mailing address
12 Park St Apt 2
Orono, ME 04473-4405
Phone (207) 322-4038
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL4053 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1467878645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PARK ST APT 2",
"city": "ORONO",
"state": "ME",
"postal_code": "044734405",
"telephone_number": "207-322-4038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 PARK ST",
"address_2": "APT 2",
"city": "ORONO",
"state": "ME",
"postal_code": "044734405",
"telephone_number": "207-322-4038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKERING",
"first_name": "GAVIN",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-11",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL4053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orono, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.