Organization Active NPI

Resilience Counseling Services LLC

  • Clinical Social Worker
  • Buxton, ME
National Provider Identifier
1861804064
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC6035 Issued in ME
Legal business name
RESILIENCE COUNSELING SERVICES LLC
Practice address
55 Fogg Rd
Buxton, ME 04093-3614
Phone
(207) 228-5080
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Joanna C Bulger, LCSWNPI 1932418811
Title
Manager
Phone
(207) 228-5080

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC6035 ME Primary

Addresses

Primary practice location

55 Fogg Rd
Buxton, ME 04093-3614

Mailing address

PO Box 920
Buxton, ME 04093-0920
Phone (207) 228-5080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140819002681 ME Part B Supplier - Clinic/Group Practice 3072731876 Receives reassigned benefits from 1 practitioner
Practice locations: South Portland, ME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1861804064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920",
            "city": "BUXTON",
            "state": "ME",
            "postal_code": "040930920",
            "telephone_number": "207-228-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FOGG RD",
            "city": "BUXTON",
            "state": "ME",
            "postal_code": "040933614",
            "telephone_number": "207-228-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "BULGER",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-228-5080",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buxton, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.