Organization Active NPI

Azure Counseling LLC

  • Clinical Social Worker
  • Yarmouth, ME
National Provider Identifier
1992418198
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AZURE COUNSELING LLC
Practice address
273 Main St Ste 5-2
Yarmouth, ME 04096-6753
Phone
(207) 415-3649
Fax
(844) 839-4800
NPI assigned
Jan 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Mrs. Danielle Carey-Silveri
Title
Billing Specialist
Phone
(844) 839-5735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

273 Main St Ste 5-2
Yarmouth, ME 04096-6753

Mailing address

273 Main St Ste 2
Yarmouth, ME 04096-6753
Phone (207) 415-3649

Other names 1

  • Patricia Sands, LCSW Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230213001535 ME Part B Supplier - Clinic/Group Practice 7719359116 Receives reassigned benefits from 1 practitioner
Practice locations: Yarmouth, ME

National Provider Directory

National Provider Directory

Locations

273 Main St
Ste 2
Yarmouth, ME 04096
Phone (207) 415-3649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1992418198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 MAIN ST STE 2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966753",
            "telephone_number": "207-415-3649",
            "fax_number": "844-839-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 MAIN ST STE 5-2",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966753",
            "telephone_number": "207-415-3649",
            "fax_number": "844-839-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZURE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "CAREY-SILVERI",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "844-839-5735",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patricia Sands, LCSW",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Patricia Sands, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yarmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.