Active NPI
Teri Lee Lippincott, CADC
- Addiction (Substance Use Disorder) Counselor
- Bangor, ME
National Provider Identifier
1730833344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CAC5908
- Practice address
- 40 Summer St
Bangor, ME 04401-7144 - Phone
- (207) 631-3405
- NPI assigned
- Feb 11, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC5908 | ME | Primary |
Addresses
Primary practice location
40 Summer St
Bangor, ME 04401-7144
Mailing address
40 Summer St
Bangor, ME 04401-7144
Phone (207) 573-1266
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | tlippincott.bsc@gmail.com | Health Information Exchange (HIE) | |
| SOAP URL | tlippincott.bsc@gmail.com | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC5908 | ME | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1730833344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SUMMER ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044017144",
"telephone_number": "207-573-1266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SUMMER ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044017144",
"telephone_number": "207-631-3405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPPINCOTT",
"first_name": "TERI",
"middle_name": "LEE",
"credential": "CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "CAC5908",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "tlippincott.bsc@gmail.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "40 Summer St",
"city": "Bangor",
"state": "ME",
"country_code": "US",
"postal_code": "044017144",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "tlippincott.bsc@gmail.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "40 Summer St",
"city": "Bangor",
"state": "ME",
"country_code": "US",
"postal_code": "044017144",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.