Jeannine Ayotte, SA COUNSELOR LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC144 Issued in ME

Practice address

139 Market St
Suite 101
Fort Kent, ME 04743-1410

Phone

(207) 834-3186

Fax

(207) 834-7190

NPI assigned

Jan 29, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1568508778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 MARKET ST",
            "address_2": "SUITE 101",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431410",
            "telephone_number": "207-834-3186",
            "fax_number": "207-834-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 MARKET ST",
            "address_2": "SUITE 101",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431410",
            "telephone_number": "207-834-3186",
            "fax_number": "207-834-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOTTE",
        "first_name": "JEANNINE",
        "credential": "SA COUNSELOR LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Fort Kent, ME
• Providers in Fort Kent, 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 Jul 9, 2007; 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.