Organization Active NPI

Carolyn Branson PLLC

  • Professional Counselor
  • Portland, ME
National Provider Identifier
1780126557
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC3499 Issued in ME
Legal business name
CAROLYN BRANSON PLLC
Practice address
222 Auburn St
Suite 201
Portland, ME 04103-6002
Phone
(207) 232-4490
Fax
(207) 283-0038
NPI assigned
Nov 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Carolyn Branson, LCPCNPI 1548634470
Title
Owner
Phone
(207) 232-4490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X CC3499 ME Primary

Addresses

Primary practice location

222 Auburn St
Suite 201
Portland, ME 04103-6002

Mailing address

7 Tidewater CV
Falmouth, ME 04105-2110
Phone (207) 232-4490

National Provider Directory

National Provider Directory

Locations

222 Auburn St
Ste 201
Portland, ME 04103
Phone (207) 232-4490

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1780126557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 TIDEWATER CV",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041052110",
            "telephone_number": "207-232-4490",
            "fax_number": "207-283-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 AUBURN ST",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036002",
            "telephone_number": "207-232-4490",
            "fax_number": "207-283-0038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN BRANSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "BRANSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-232-4490",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.