Belfast Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BELFAST COUNSELING LLC

Practice address

26 Spring St
Belfast, ME 04915-6817

Phone

(207) 561-7269

NPI assigned

Jul 18, 2024

Last updated

Jul 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ericka Tidmore Travers, LCPC-C, LADC, CCSNPI 1124663695

Title

Managing Employee

Phone

(207) 561-7269

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ericka Tidmore Travers, LCPC-C, LADC, CCS

  • Mental Health Counselor
  • Belfast, ME
  • NPI 1124663695

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1982442455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SPRING ST",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156817",
            "telephone_number": "207-561-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SPRING ST",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156817",
            "telephone_number": "207-561-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELFAST COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "TRAVERS",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_middle_name": "TIDMORE",
        "authorized_official_title_or_position": "MANAGING EMPLOYEE",
        "authorized_official_telephone_number": "207-561-7269",
        "authorized_official_credential": "LCPC-C, LADC, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Belfast Bay Radiology
• Belfast Dental Care, LLC
• Belfast Drug Company Inc. (Belfast Drug Company)
• Belfast Operations, LLC (Harbor Hill Center)
• Belfast Operations, LLC (Harbor Hill Center)
• Belfast Pediatrics, LLC

• Mental Health Counselor in Belfast, ME
• Providers in Belfast, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.