Individual provider Active NPI

Jeffrey D Venable, LCPC, LADC, CCS

  • Mental Health Counselor
  • Auburn, ME
National Provider Identifier
1952782369
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CC5131 Issued in ME
Practice address
178 Court St Ste 204
Auburn, ME 04210-6917
Phone
(530) 746-8018
NPI assigned
Jun 11, 2015
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC5747 ME
Mental Health Counselor 101YM0800X CC5131 ME Primary

Addresses

Primary practice location

178 Court St Ste 204
Auburn, ME 04210-6917

Mailing address

178 Court St Ste 204
Auburn, ME 04210-6917
Phone (530) 746-8018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627003549 ME Practitioner - Mental Health Counselor 5991249237 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAC5747MEMDAddiction (Substance Use Disorder) Counselor
CC5131MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Venable Counseling Services LLC - Dba Devil Dog Counseling Addiction (Substance Use Disorder) CurrentSince Oct 31, 2021 Accepting new patients
Health Affiliates Maine, LLC CurrentSince Jul 20, 2024 Accepting new patients

Locations

178 Court St
Ste 204
Auburn, ME 04210
Phone (207) 740-5710

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

Organizations & group practices 2

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1952782369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 COURT ST STE 204",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106917",
            "telephone_number": "530-746-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 COURT ST STE 204",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106917",
            "telephone_number": "530-746-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENABLE",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "LCPC, LADC, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC5747",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC5131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

Verify at the official NPI Registry.