Active NPI
Jeffrey Bickford, LCPC, LADC
- Professional Counselor
- Augusta, ME
National Provider Identifier
1992002786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC3646
- Practice address
- 295 Water St
Suite 8
Augusta, ME 04330-4619 - Phone
- (207) 626-3373
- Fax
- (207) 626-3365
- NPI assigned
- Feb 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC224 | ME | |
| Professional Counselor | 101YP2500X | CC3646 | ME | Primary |
Addresses
Primary practice location
295 Water St
Suite 8
Augusta, ME 04330-4619
Mailing address
295 Water St
Suite 8
Augusta, ME 04330-4619
Phone (207) 626-3373
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 |
|---|---|---|---|
| LC224 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| CC3646 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336694400000",
"number": "1992002786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 WATER ST",
"address_2": "SUITE 8",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043304619",
"telephone_number": "207-626-3373",
"fax_number": "207-626-3365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 WATER ST",
"address_2": "SUITE 8",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043304619",
"telephone_number": "207-626-3373",
"fax_number": "207-626-3365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKFORD",
"first_name": "JEFFREY",
"credential": "LCPC, LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-14",
"last_updated": "2012-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC224",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC3646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.