Avalon Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AVALON SERVICES LLC

Practice address

37 Park St Ste 302
Lewiston, ME 04240-7195

Phone

(207) 333-1080

Fax

(207) 777-4649

NPI assigned

Jul 15, 2019

Last updated

Feb 6, 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

Blaine LintonNPI 1447585906

Title

Owner

Phone

(207) 402-4890

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 17

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.

• Kristina J Beladi, FNP-C

  • Family Nurse Practitioner
  • Lewiston, ME
  • NPI 1376073163
  Medicare reassignment NPD
• Meagan Erin McDougal, LMSW-CC, MSW

  • Mental Health Counselor
  • Lewiston, ME
  • NPI 1316708852
  Medicare reassignment NPD
• Blaine B Linton, LADC, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Lewiston, ME
  • NPI 1447585906
  NPD Authorized official
• Benjamin Bowie, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Lewiston, ME
  • NPI 1497470264
  NPD
• Tammy L Gannaway, FNP

  • Family Nurse Practitioner
  • Lewiston, ME
  • NPI 1376872606
  NPD
• Denise Hatch, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Lewiston, ME
  • NPI 1780346866
  NPD
• Holly Anne Hogan, LCSW

  • Clinical Social Worker
  • Portland, ME
  • NPI 1255093126
  NPD
• Nicole Jean Kenney

  • Addiction (Substance Use Disorder) Counselor
  • Lewiston, ME
  • NPI 1659512853
  NPD
• Kendra Clair McGeorge

  • Mental Health Counselor
  • Wilton, ME
  • NPI 1326867128
  NPD
• Katie L Moran, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Lewiston, ME
  • NPI 1376385658
  NPD
• Rachel A Pierce, LCPC

  • Professional Counselor
  • West Gardiner, ME
  • NPI 1215562202

  Addiction (Substance Use Disorder)

  NPD
• Nicole Rucka

  • Mental Health Counselor
  • Lewiston, ME
  • NPI 1720526569
  NPD

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1659923068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PARK ST STE 302",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407195",
            "telephone_number": "207-333-1080",
            "fax_number": "207-777-4649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PARK ST STE 302",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407195",
            "telephone_number": "207-333-1080",
            "fax_number": "207-777-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "LINTON",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-402-4890"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Allen Audet, LCSW LADC
• Stephanie Aung, MD
• Mitchell Auster, D.M.D.
• David Scott Austin, PSYD
• Matthew Anthony Autin, PHARM.D.
• Avello Home Care LLC
• Kelsey Averill
• Emily Avery
• Troy Michael Avery, O.D.
• Yacov Aviv, LMSW-CC

• Community/Behavioral Health Agency in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.