Mandala Counseling and Creative Arts, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MANDALA COUNSELING AND CREATIVE ARTS, LLC

Practice address

291 Main St
Orono, ME 04473-3439

Phone

(207) 881-3134

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Daryne M RockettNPI 1811608458

Title

Owner/LCSW

Phone

(207) 881-3134

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 3

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

• Daryne M Rockett, LCSW

  • Clinical Social Worker
  • Orono, ME
  • NPI 1811608458
  Medicare reassignment NPD Authorized official
• Marilyn L Michaud, FNP

  • Family Nurse Practitioner
  • Bangor, ME
  • NPI 1013987106
  NPD (past)
• Alexander P. Kovanko, DO

  • Family Medicine Physician
  • Derry, NH
  • NPI 1588673909
  NPD (past)

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1891497368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FERNWOOD ST",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MAIN ST",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733439",
            "telephone_number": "207-881-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA COUNSELING AND CREATIVE ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "ROCKETT",
        "authorized_official_first_name": "DARYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "207-881-3134"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Macaulay, PHD
• Emma Macey
• Jessica F Madden
• Lorriann Mahan, MS CCCSLP
• Barbara Jane Mainguy, MA, MSW
• Marsh Island Psychiatry PLLC
• Lynda Ann Marvin, PH.D., CCC-SLP
• Sierra Maxsimic
• Nicholas Andrew May, PH.D., CCC-SLP
• Lindsey McAdam

• Clinical Social Worker in Orono, ME
• Providers in Orono, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.