Active NPI
Jace Farris
- Counselor
- Marshfield, ME
National Provider Identifier
1649685447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 14 Steves LN
Marshfield, ME 04654 - Phone
- (207) 255-0996
- Fax
- (207) 255-8748
- NPI assigned
- Jul 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
14 Steves LN
Marshfield, ME 04654
Mailing address
14 Steves LN
Marshfield, ME 04654-5045
Phone (207) 255-0996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649685447 | Medicaid | ME |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1649685447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 STEVES LN",
"city": "MARSHFIELD",
"state": "ME",
"postal_code": "046545045",
"telephone_number": "207-255-0996",
"fax_number": "207-255-8748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 STEVES LN",
"city": "MARSHFIELD",
"state": "ME",
"postal_code": "04654",
"telephone_number": "207-255-0996",
"fax_number": "207-255-8748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRIS",
"first_name": "JACE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-01",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649685447",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.