Individual provider Active NPI

Patrick E Pauwels, CADC

  • Counselor
  • Madawaska, ME
National Provider Identifier
1962000620
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CAC7301 Issued in ME
Practice address
88 Fox St Ste 101
Madawaska, ME 04756-1352
Phone
(207) 728-6341
Fax
(207) 728-7762
NPI assigned
Oct 15, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CAC7301 ME Primary

Addresses

Primary practice location

88 Fox St Ste 101
Madawaska, ME 04756-1352

Mailing address

180 Academy St Ste 3
Presque Isle, ME 04769-3183
Phone (207) 554-2352

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

State licenses

LicenseStateTypeSpecialty
CAC7301MEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aroostook Mental Health Services, Inc. Counselor CurrentSince Oct 19, 2020 Accepting new patients

Locations

88 Fox St
#101
Madawaska, ME 04756
Phone (207) 728-6341

180 Academy St
Ste 3
Presque Isle, ME 04769
Phone (207) 554-2352

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.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1962000620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST STE 3",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693183",
            "telephone_number": "207-554-2352",
            "fax_number": "207-554-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 FOX ST STE 101",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561352",
            "telephone_number": "207-728-6341",
            "fax_number": "207-728-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUWELS",
        "first_name": "PATRICK",
        "middle_name": "E",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "CAC7301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madawaska, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.