Tri-County Mental Health Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

XL3134 Issued in ME

Legal business name

TRI-COUNTY MENTAL HEALTH SERVICES

Practice address

230 Bartlett St
Lewiston, ME 04240-6578

Phone

(207) 783-4692

Fax

(207) 783-4694

NPI assigned

Aug 9, 2012

Last updated

Aug 9, 2012By 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

Mr. Paul E. Johnson Sr., CRC, LCPCC

Title

Counselor, Rehabilitation Counselor

Phone

(207) 783-4692

Specialties & licenses 1

Addresses

Other names 1

• ACT Team Other name

Locations

Practitioners 1

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.

• Owen Delos Buck, MD

  • Clinical Genetics (M.D.) Physician
  • Lewiston, ME
  • NPI 1093871956
  NPD (past)

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1689921629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BARTLETT ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406578",
            "telephone_number": "207-783-4692",
            "fax_number": "207-783-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BARTLETT ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406578",
            "telephone_number": "207-783-4692",
            "fax_number": "207-783-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "COUNSELOR, REHABILITATION COUNSELOR",
        "authorized_official_telephone_number": "207-783-4692",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "CRC, LCPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "ME",
            "license": "XL3134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACT Team",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tri-County Mental Health
• Tri-County Mental Health Services
• Tri-County Mental Health Services
• Tri-County Mental Health Services
• Tri-County Mental Health Services
• Danielle Tripp
• Dawn Tritch, LCPC
• Haley Mackenzie True
• Cecilia K Trydestam, MD
• Denise Tso

• Adult Mental Health Clinic/Center in Lewiston, ME
• Providers in Lewiston, 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 Aug 9, 2012; 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.