Active NPI
Dawn Tritch, LCPC
- Professional Counselor
- Lewiston, ME
National Provider Identifier
1487846770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL3043
- Practice address
- 393 Sabattus St
Lewiston, ME 04240-5439 - Phone
- (207) 782-9551
- Fax
- (207) 784-6826
- NPI assigned
- Aug 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 | XL3043 | ME | Primary |
Addresses
Primary practice location
393 Sabattus St
Lewiston, ME 04240-5439
Mailing address
PO Box 10187
Albany, NY 12201-5187
Phone (207) 777-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432664599 | Medicaid | ME |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL3043 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1487846770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10187",
"city": "ALBANY",
"state": "NY",
"postal_code": "122015187",
"telephone_number": "207-777-4111",
"fax_number": "207-783-6660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 SABATTUS ST",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042405439",
"telephone_number": "207-782-9551",
"fax_number": "207-784-6826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRITCH",
"first_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-10",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL3043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432664599",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.