Andrea Lee Gerry, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

70 1St Rangeway
Waterville, ME 04901-5254

Phone

(207) 616-0705

NPI assigned

Nov 6, 2020

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

Other identifiers 1

Electronic endpoints 2

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": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1639770530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 1ST RANGEWAY",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015254",
            "telephone_number": "207-616-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 1ST RANGEWAY",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015254",
            "telephone_number": "207-616-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRY",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-06",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC7350",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101Y00000X",
            "state": "ME"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAPURL",
            "affiliation": "N",
            "endpointDescription": "SOAPURL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "70 1st Rangeway",
            "city": "Waterville",
            "state": "ME",
            "country_code": "US",
            "postal_code": "049015254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SOAPURL",
            "affiliation": "N",
            "endpointDescription": "SOAPURL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "70 1st Rangeway",
            "city": "Waterville",
            "state": "ME",
            "country_code": "US",
            "postal_code": "049015254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia D Gathman, PA
• Michelle Badaraco Geaghan, MSED (BIS) SPED
• Kate Gelman, MD
• Genesis Rehab Services
• Katie Gerrish, SLP
• Stefani Gettle
• Simon A. L. Gibbs, M.D.
• Brenda C Gilbert, LCPC-C, CADC
• Michele Ginn
• Priscilla Girard, LCSW

• Addiction (Substance Use Disorder) Counselor in Waterville, ME
• Providers in Waterville, 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 Nov 6, 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.