Jane E Beaudoin, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC4507 Issued in ME

Practice address

50 Moody St
Sweetser
Saco, ME 04072-1536

Phone

(207) 878-4447

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1487928685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MOODY ST",
            "address_2": "SWEETSER",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721536",
            "telephone_number": "207-878-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MOODY ST",
            "address_2": "SWEETSER",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040721536",
            "telephone_number": "207-878-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDOIN",
        "first_name": "JANE",
        "middle_name": "E",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC4980",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC4507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Baringer-Palmer, LMT
• Deanna C Barry, LMSW-CC
• Bruce P Bates, DO
• Jill Howard Beals, LCSW/CC
• Kevin Michael Beauchemin
• Kathleen Beliveau
• Reuben P Bell, DO
• David W. Benham, D.C
• Joseph Bennett
• Linda J Berg, LCPC

• All providers in Saco, ME
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.