Individual provider Active NPI

Wesley Carroll Covey

  • Counselor
  • Portland, ME
National Provider Identifier
1861166100
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MC20320 Issued in ME
Practice address
222 Auburn St Ste 201
Portland, ME 04103-6004
Phone
(207) 200-1758
NPI assigned
Aug 2, 2021
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC20320 ME Primary

Addresses

Primary practice location

222 Auburn St Ste 201
Portland, ME 04103-6004

Mailing address

314 Alfred St
Biddeford, ME 04005-3102
Phone (207) 200-1758

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

LicenseStateTypeSpecialty
MC20320MEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Trauma Therapy Associates CurrentSince Jan 21, 2022 Accepting new patients

Locations

314 Alfred St
Biddeford, ME 04005
Phone (207) 216-2637

222 Auburn St
Ste 201
Portland, ME 04103
Phone (207) 232-4490

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1861166100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053102",
            "telephone_number": "207-200-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 AUBURN ST STE 201",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041036004",
            "telephone_number": "207-200-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVEY",
        "first_name": "WESLEY",
        "middle_name": "CARROLL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "MC20320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.