Active NPI
Jeana Buckland, LCPC
- Counselor
- Bridgton, ME
National Provider Identifier
1972968865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CC4638
- Practice address
- 32 N High St
Bridgton, ME 04009-1125 - Phone
- (207) 647-5629
- NPI assigned
- Dec 21, 2015
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CC4638 | MA | Primary |
Addresses
Primary practice location
32 N High St
Bridgton, ME 04009-1125
Mailing address
11 Pond View Dr
Otisfield, ME 04270-6609
Phone (207) 647-5629
Other names 1
- Jeana Buckland
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
| License | State | Type | Specialty |
|---|---|---|---|
| CC4638 | MA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1972968865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 POND VIEW DR",
"city": "OTISFIELD",
"state": "ME",
"postal_code": "042706609",
"telephone_number": "207-647-5629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 N HIGH ST",
"city": "BRIDGTON",
"state": "ME",
"postal_code": "040091125",
"telephone_number": "207-647-5629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLAND",
"first_name": "JEANA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-21",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "CC4638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANA",
"last_name": "BUCKLAND",
"credential": "LCPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Bridgton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.