Crooked River Counseling PA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

492099 Issued in ME

Legal business name

CROOKED RIVER COUNSELING PA

Practice address

28 Winter St
Suite 4
Norway, ME 04268-5620

Phone

(207) 743-1677

Fax

(207) 743-1614

NPI assigned

Mar 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine A Clough-Bell, LADC,CCS,ICADC,ICCSNPI 1134184898

Title

President, Owner

Phone

(207) 743-1677

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Catherine Clough-Bell, LADC,CCS

  • Addiction (Substance Use Disorder) Counselor
  • Norway, ME
  • NPI 1134184898
  Authorized official Same address or phone

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558338707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WINTER ST.",
            "address_2": "SUITE 4",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "04268",
            "telephone_number": "207-743-1677",
            "fax_number": "207-743-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 WINTER ST",
            "address_2": "SUITE 4",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685620",
            "telephone_number": "207-743-1677",
            "fax_number": "207-743-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROOKED RIVER COUNSELING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOUGH-BELL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "207-743-1677",
        "authorized_official_credential": "LADC,CCS,ICADC,ICCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "492099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BEHV HEALTH PROV.#",
            "identifier": "RQ6,031599",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Norway, ME
• Providers in Norway, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.