Ibex Recovery, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

IBEX RECOVERY, LLC

Doing business as

Portland Treatment

Practice address

6 Digital Dr
Biddeford, ME 04005-4418

Phone

(207) 800-3347

NPI assigned

Nov 9, 2023

Organization subpart

No

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

Authorized official

Name

Nathan Roberts

Title

Executive Director

Phone

(207) 800-3347

Specialties & licenses 1

Addresses

Other names 1

• Portland Treatment Doing business as

Locations

Practitioners 1

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

• Mackenzie Nickerson, LADC, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Biddeford, ME
  • NPI 1336761444
  NPD

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1790559888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DIGITAL DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040054418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DIGITAL DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040054418",
            "telephone_number": "207-800-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBEX RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-800-3347"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portland Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Maria Hunt
• Devon Huntley, MD
• Donna Lee Huot, LSWCC
• John J. Huszonek, MD
• Jonathan David Hwang, PA-C
• Jenny Ingwersen, LCPC
• Intare Healthcare Systems, LLC
• Tamara Christine Ireland, CRNA
• Anna Victorovna Ivanova, DMD
• Olivia Jannace

• Substance Use Disorder Rehabilitation Clinic/Center in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.