Active NPI
Marie Louise Dexter, CLINICAL COUNSELOR
- Counselor
- Rangeley, ME
National Provider Identifier
1649370545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CC 3422
- Practice address
- 12 Pond Street
Rangeley, ME 04970-0157 - Phone
- (207) 864-2670
- Fax
- (207) 864-5600
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 169 | MA | |
| Counselor | 101Y00000X | CC 3422 | ME | Primary |
Addresses
Primary practice location
12 Pond Street
Rangeley, ME 04970-0157
Mailing address
12 Pond Street
P.O. Box 157
Rangelely, ME 04970-0157
Phone (207) 864-2670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC 3422 | ME | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286409600000",
"number": "1649370545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 POND STREET",
"address_2": "P.O. BOX 157",
"city": "RANGELELY",
"state": "ME",
"postal_code": "049700157",
"telephone_number": "207-864-2670",
"fax_number": "207-864-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 POND STREET",
"city": "RANGELEY",
"state": "ME",
"postal_code": "049700157",
"telephone_number": "207-864-2670",
"fax_number": "207-864-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEXTER",
"first_name": "MARIE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "CLINICAL COUNSELOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2010-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "169",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "CC 3422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rangeley, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.