Individual provider Active NPI

Ariel Ann Alfis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • South Portland, ME
National Provider Identifier
1548935158
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
CNP211298 Issued in ME
Practice address
707 Sable Oaks Dr Ste 230
South Portland, ME 04106-6954
Phone
(603) 883-0005
NPI assigned
Aug 16, 2021
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 085813-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X CNP211298 ME Primary

Addresses

Primary practice location

707 Sable Oaks Dr Ste 230
South Portland, ME 04106-6954

Mailing address

707 Sable Oaks Dr Ste 230
South Portland, ME 04106-6954
Phone (603) 883-0005

Other practice location 1

177 Shattuck Way
Newington, NH 03801-7879
Phone (603) 436-0448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424001704 ME Practitioner - Nurse Practitioner 4587180377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

707 Sable Oaks Dr
Suite 230
South Portland, ME 04106-6954
Phone (603) 883-0005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085813-23NHMDFamily Nurse Practitioner
CNP211298MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

53 Baxter Blvd
Portland, ME 04101
Phone (207) 245-1648

10 Market St
Ste 205
Scarborough, ME 04074
Phone (207) 503-3583

707 Sable Oaks Dr
Ste 230
South Portland, ME 04106
Phone (207) 387-0801

1 Main St
Nashua, NH 03064
Phone (603) 689-7978

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.arielalfis@140126.advancedmd-direct.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1548935158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SABLE OAKS DR STE 230",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066954",
            "telephone_number": "603-883-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SABLE OAKS DR STE 230",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066954",
            "telephone_number": "603-883-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Shattuck Way",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "NH",
            "postal_code": "038017879",
            "country_code": "US",
            "telephone_number": "603-436-0448",
            "fax_number": "603-436-0668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFIS",
        "first_name": "ARIEL",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "085813-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "CNP211298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.