Individual provider Active NPI

Julie A. Ivey, MHRT-C

  • Mental Health Counselor
  • Houlton, ME
National Provider Identifier
1831410166
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
11 Mill St
Houlton, ME 04730-1877
Phone
(207) 532-6523
Fax
(207) 532-3873
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

11 Mill St
Houlton, ME 04730-1877

Mailing address

11 Mill St
Houlton, ME 04730-1877
Phone (207) 532-6523

Other identifiers 1

IdentifierTypeStateIssuer
103850000MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180727001136 ME Practitioner - Clinical Social Worker 9032466677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houlton Band of Maliseet IndiansGroup PAC ID 9436112752, 6 clinicians

Practice addresses (Care Compare)

3 Clover Cir
Houlton, ME 04730-3424
Phone (207) 532-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Band of Maliseet Indians CurrentSince Jun 6, 2018 Accepting new patients
Aroostook Mental Health Services, Inc. PastSince Jun 15, 1995 Accepting new patients

Locations

3 Clover Cir
Littleton, ME 04730
Phone (207) 532-2240

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1831410166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MILL ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301877",
            "telephone_number": "207-532-6523",
            "fax_number": "207-532-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MILL ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301877",
            "telephone_number": "207-532-6523",
            "fax_number": "207-532-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "JULIE",
        "middle_name": "A.",
        "credential": "MHRT-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103850000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.