Amy J Hanscom, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC6878 Issued in ME

Practice address

12 Acme Rd Ste 207
Brewer, ME 04412-1546

Phone

(207) 573-4722

NPI assigned

Feb 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• A Time to Rise - Counseling & Wellness LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brewer, ME
  • NPI 1841756988
  NPD (past)
• Spooky Barbie Healing LLC

  • Mental Health Counselor
  • Brewer, ME
  • NPI 1427764570
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1487110532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ACME RD STE 207",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121546",
            "telephone_number": "207-573-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ACME RD STE 207",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044121546",
            "telephone_number": "207-573-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSCOM",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC6878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd James Hachey, RPH
• Rachel Joy Hall
• Rajesh Handral
• Hannaford Bros Co LLC
• Sonja S. Hannington, LCSW
• Nicole M Hanson
• Jordan Sam Harper, LCPC-C
• Linnea R Harrold, PAC
• Ashleigh A. Hart, L.AC.
• Annette Marie Hatch-Clein, FNP, P.MH CNS

• All providers in Brewer, ME
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.