NOEL EDWARD THIBODEAU (NPI# 1063052157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063052157 |
| Entity Type | Individual |
| Full Name | NOEL EDWARD THIBODEAU |
| Practice Address |
181 Corporate Dr Bangor ME 04401-4314 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2079922636 |
| Mailing Telephone | 2074048200 |
| Mailing Fax Number | 2074048039 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CAC6839 | ME | Behavioral Health & Social Service Providers |
| Street Address |
181 CORPORATE DR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184729451 | Vernon Trip A Gardner IIi | Psychologist | 181 Corporate Dr, Bangor, ME 04401-4314 | 2006-09-13 |
| 1790334571 | Joshua Buckmaster D'alessio | Counselor | 181 Corporate Dr, Bangor, ME 04401-4314 | 2019-09-05 |
| 1053960831 | Ann Louise Giggey | Counselor | 181 Corporate Dr, Bangor, ME 04401-4314 | 2019-09-05 |
| 1952680597 | Brandy Daisy Gebo | Counselor | 181 Corporate Dr, Bangor, ME 04401-4314 | 2011-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588055016 | Nichole E Gulowsen | Counselor | 27 State St Ste 38, Bangor, ME 04401-5141 | 2015-02-05 |
| 1548504111 | Sarah E Brasslett | Counselor | 36 3rd St Apt 5, Bangor, ME 04401-6165 | 2012-11-20 |
| 1063739316 | Kristen Hirsch | Counselor | 229 State St, Bangor, ME 04401-5414 | 2010-04-27 |
| 1740468073 | Brittnay Webster | Counselor | 1883 Essex St, Bangor, ME 04401-2108 | 2008-02-08 |
| 1538365028 | Nancy Hunter Daisey | Counselor | 42 Columbia St, Suite #11, Bangor, ME 04401 | 2007-06-22 |
| 1740482322 | Karen Lynn Bradford | Counselor | 72 Mount Desert Dr, Bangor, ME 04401-2326 | 2007-06-05 |
| 1851519698 | Allen Drucker | Counselor | 109 State Street, Suite 3, Bangor, ME 04401-5389 | 2007-04-24 |
| 1689792608 | Christine R Talbott | Counselor | 77 Exchange St, Suite 403, Bangor, ME 04401 | 2007-03-27 |
| 1831798537 | Spiral Growth Counseling, LLC | Counselor | 36 3rd St Apt 5, Bangor, ME 04401-6165 | 2020-10-22 |
| 1518593417 | Alice Claire Poulin | Counselor | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2020-03-23 |
| Find all providers in BANGOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.