Abigail Pelletier, MHRT-C, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAC6447 Issued in ME

Practice address

43 Hatch Dr
Caribou, ME 04736-2161

Phone

(207) 498-6431

NPI assigned

Oct 24, 2017

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aroostook Mental Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Presque Isle, ME
  • NPI 1487601399
  NPD (past)
• Caribou Eyecare, P.a.

  • Optometrist
  • Caribou, ME
  • NPI 1356470645
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1982115481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1018",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047361018",
            "telephone_number": "207-498-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HATCH DR",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362161",
            "telephone_number": "207-498-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "ABIGAIL",
        "credential": "MHRT-C, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC6447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010276859",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Phyllis Paradis, FNP
• Joseph Annunzio Parisi, PHARMD, RPH
• Jayatillake S Pathiraja, MD
• Pathways Wellness Group, LLP
• Patricia Pelkey, MHRT-CSP
• Ellis D Pelletier, ATC
• Marthe E Pelletier, RD
• Sherry Pelletier, LCSW
• Danielle B Perry, LSW
• Pamela Joan Petrocy, MD

• Addiction (Substance Use Disorder) Counselor in Caribou, ME
• Providers in Caribou, 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 Oct 24, 2017; 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.