Individual provider Active NPI

Jessica Griswold, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Livermore Falls, ME
National Provider Identifier
1891482444
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
76 Main St
Livermore Falls, ME 04254-1529
Phone
(207) 320-3305
Fax
(207) 645-2372
NPI assigned
Apr 21, 2023
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery House of Central Maine, Inc. Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

NPPES NPI Registry

Primary practice location

76 Main St
Livermore Falls, ME 04254-1529

Mailing address

76 Main St
Livermore Falls, ME 04254-1529
Phone (207) 320-3305

Other names 1

NPPES NPI Registry
  • Jessica Pinkham Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2023.

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1891482444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MAIN ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042541529",
            "telephone_number": "207-320-3305",
            "fax_number": "207-645-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 MAIN ST",
            "city": "LIVERMORE FALLS",
            "state": "ME",
            "postal_code": "042541529",
            "telephone_number": "207-320-3305",
            "fax_number": "207-645-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISWOLD",
        "first_name": "JESSICA",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PINKHAM",
            "credential": "CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livermore Falls, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.