Active NPI
Deerspring Wellness, LLC
- Professional Counselor
- Casco, ME
National Provider Identifier
1851936710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Thorn, LCPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Casco, ME
- NPI 1053778324
-
- Professional Counselor
- Casco, ME
- NPI 1508222605
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
- Alaimo Healthcare, LLC (Country Village Assisted Living)
- Casco Assisted Living (Country Village Assisted Living)
- Catch-Wim LLC (The Casco Inn Residential Care Facility)
- Shelagh Costello, OT
- Country Village Assisted Living
- Ecsel Speech & Language Services
- Firstlight Homecare
- Health Care Resource Center
- Erin Mackenzie Holden, LADC, CCS
- Deanna Hutnik-Raihl
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.