Active NPI
Jonathan D Ward, LCPC
- Mental Health Counselor
- Rockland, ME
National Provider Identifier
1831594548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC4787
- Practice address
- 12 Union St
Rockland, ME 04841-2739 - Phone
- (207) 701-4400
- Fax
- (207) 701-4487
- NPI assigned
- Oct 24, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC4787 | ME | Primary |
Addresses
Primary practice location
12 Union St
Rockland, ME 04841-2739
Mailing address
120 Tillson Ave Ste 200
Rockland, ME 04841-3400
Phone (207) 504-7118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC4787 | Other | ME | STATE OF MAINE OFFICE OF PROFESSIONAL & FINANCIAL REGULATION |
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 |
|---|---|---|---|
| CC4787 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1831594548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 TILLSON AVE STE 200",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048413400",
"telephone_number": "207-504-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 UNION ST",
"city": "ROCKLAND",
"state": "ME",
"postal_code": "048412739",
"telephone_number": "207-701-4400",
"fax_number": "207-701-4487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "JONATHAN",
"middle_name": "D",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-24",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "CC4787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MAINE OFFICE OF PROFESSIONAL & FINANCIAL REGULATION",
"identifier": "CC4787",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.