Manifest Maine LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MANIFEST MAINE LLC

Practice address

825 Main St
Westbrook, ME 04092-2872

Phone

(207) 480-3491

Fax

(207) 352-5133

NPI assigned

Apr 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Whitney Adams, LCSW, LADC, CCSNPI 1558739946

Title

Owner

Phone

(207) 838-7839

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Whitney W Adams, LCSW, LADC, CCS

  • Mental Health Counselor
  • Windham, ME
  • NPI 1558739946
  NPD Authorized official

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1659959484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 INKHORN BROOK RD",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624091",
            "telephone_number": "207-838-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 MAIN ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040922872",
            "telephone_number": "207-480-3491",
            "fax_number": "207-352-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST MAINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-838-7839",
        "authorized_official_credential": "LCSW, LADC, CCS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mainehealth
• Mainehealth
• Mainehealth
• Mustafa Maisha
• Timothy James Manahan, D.O.
• Kristen Marden
• Kyle Marshall, PHARMD
• Heather Marie Martel, LMSW-CC
• Robert L Martin II, P.T.
• Ellen Martzial, LCSW

• Adult Mental Health Clinic/Center in Westbrook, ME
• Providers in Westbrook, ME by specialty
• Adult Mental Health Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.