Cherry M Jordan, LADC, CCS, MHRT/C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC6149 Issued in ME

Practice address

849 Stillwater Ave
Bangor, ME 04401-3624

Phone

(207) 573-7941

NPI assigned

Mar 30, 2020

Last updated

Mar 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cherry M Saucier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Recover Together, LLC

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • Lawrenceburg, IN
  • NPI 1891102497
  NPD
• Recover Together, Inc.

  dba Groups Recover Together

  • Adult Mental Health Clinic/Center
  • London, KY
  • NPI 1346736758
  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1972131514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013624",
            "telephone_number": "207-573-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013624",
            "telephone_number": "207-573-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHERRY",
        "middle_name": "M",
        "credential": "LADC, CCS, MHRT/C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC6149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERRY",
            "last_name": "SAUCIER",
            "middle_name": "M",
            "credential": "LADC, CCS, MHRT/C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jamie Jones, LADC, CCS
• Kara Geaghan Jones, PHARMD
• Lacy Nicole Jones, DO
• Whitney A Jones, DMD
• Adam Jordan, PHARM D
• Eben A Jordan, PAC
• Jeffrey Jay Jordan, MD
• Maureen Jordan, LPN
• Michael Richard Jordan
• Sharon Mae Jordan, LCSW

• Addiction (Substance Use Disorder) Counselor in Bangor, ME
• Providers in Bangor, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.