Organization Active NPI

Deerspring Wellness, LLC

  • Professional Counselor
  • Casco, ME
National Provider Identifier
1851936710
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
DEERSPRING WELLNESS, LLC
Practice address
224 Roosevelt TRL
Casco, ME 04015-4228
Phone
(207) 577-0972
NPI assigned
Nov 14, 2019
Last updated
Aug 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
Alexander Thorn, LCPCNPI 1053778324
Title
Member, Clinician
Phone
(207) 577-0972

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 Counselor 101YP2500X Primary

Addresses

Primary practice location

224 Roosevelt TRL
Casco, ME 04015-4228

Mailing address

41 Depot St Ste 203
Bridgton, ME 04009-1241
Phone (207) 577-0972

National Provider Directory

National Provider Directory

Locations

41 Depot St
Ste 203
Bridgton, ME 04009

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1851936710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 DEPOT ST STE 203",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091241",
            "telephone_number": "207-577-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 ROOSEVELT TRL",
            "city": "CASCO",
            "state": "ME",
            "postal_code": "040154228",
            "telephone_number": "207-577-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERSPRING WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-14",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "THORN",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEMBER, CLINICIAN",
        "authorized_official_telephone_number": "207-577-0972",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.