Active NPI
Andrea Bradford
- Addiction (Substance Use Disorder) Counselor
- Farmington, ME
National Provider Identifier
1962957878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CAC5990
- Practice address
- 131 Franklin Health CMNS
Ste a
Farmington, ME 04938-6142 - Phone
- (207) 779-2851
- Fax
- (207) 779-2143
- NPI assigned
- Aug 20, 2016
- Last updated
- Aug 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC5990 | ME | Primary |
Addresses
Primary practice location
131 Franklin Health CMNS
Ste a
Farmington, ME 04938-6142
Mailing address
131 Franklin Health CMNS
Ste a
Farmington, ME 04938-6142
Phone (207) 779-2851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13 Maverick St
Rockland, ME 04841-3402
37 Park St
Suite 302
Lewiston, ME 04240-7195
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC5990 | ME | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471651200000",
"number": "1962957878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 FRANKLIN HEALTH CMNS",
"address_2": "STE A",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049386142",
"telephone_number": "207-779-2851",
"fax_number": "207-779-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 FRANKLIN HEALTH CMNS",
"address_2": "STE A",
"city": "FARMINGTON",
"state": "ME",
"postal_code": "049386142",
"telephone_number": "207-779-2851",
"fax_number": "207-779-2143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADFORD",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-20",
"last_updated": "2016-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "CAC5990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.