Active NPI
Resilience Counseling Services LLC
- Clinical Social Worker
- Buxton, ME
National Provider Identifier
1861804064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC6035
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanna C Bulger, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.