ANDREA RICHARDS (NPI# 1104129501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104129501 |
| Entity Type | Individual |
| Full Name | ANDREA RICHARDS |
| Other Name | ANDREA N. GRAY |
| Credential | LCPC |
| Practice Address |
700 Mount Hope Ave Suite 320 Bangor ME 04401-5691 |
| Practice Telephone | 2072498231 |
| Mailing Telephone | 2072498231 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2012-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC3845 | ME | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
XL3581 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609286673 | Andrea Lamar Richards | General Practice | 212 West 35th Street, 5th Floor, New York, NY 10001 | 2014-04-30 |
| 1659844819 | Andrea Richards | Occupational Therapy Assistant | 17 Chipman Way, Kingston, MA 02364-1039 | 2019-01-09 |
| 1356833073 | Andrea Richards | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2018-05-30 |
| 1306299409 | Andrea Richards | Behavioral Analyst | 148 Wilshire Blvd, Casselberry, FL 32707-5372 | 2016-07-13 |
| 1316173313 | Andrea Darcy Richards | Military Health Care Provider | 331 Sijen Ave, Whiteman Afb, MO 65305-1269 | 2009-06-04 |
| 1588819270 | Andrea M Richards | Occupational Therapist | 4700 Seton Center Pkwy, Suite 200, Austin, TX 78759-5295 | 2008-11-21 |
| 1922261825 | Andrea Richards | Occupational Therapist | 1 N Belfield Ave, Havertown, PA 19083-4904 | 2008-07-10 |
| 1629293139 | Andrea Telak Richards | Psychiatry & Neurology | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2007-04-17 |
| Street Address |
700 MOUNT HOPE AVE SUITE 320 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427258 | Paul Alan Shapero | Allergy & Immunology | 700 Mount Hope Ave, Suite 430, Bangor, ME 04401-5691 | 2005-06-16 |
| 1437559473 | Angela Bull | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2014-08-27 |
| 1083029953 | Mary Beaster | Speech-Language Pathologist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2014-06-30 |
| 1710318399 | Becky Mansfield | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2013-12-06 |
| 1699014241 | United Cerebral Palsy of Northeastern Maine | Speech-Language Pathologist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5680 | 2013-02-01 |
| 1558607432 | Amanda Conners | Social Worker | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-12-20 |
| 1669716304 | United Cerebral Palsy of Northeastern Maine | Community/Behavioral Health | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-11-19 |
| 1730423872 | Jonathan C Smith | Counselor | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-11-15 |
| 1063765253 | Spectrum Healthcare Partners, P.a | Surgery | 700 Mount Hope Ave, Ste 620, Bangor, ME 04401 | 2012-10-25 |
| 1225303498 | United Cerebral Palsy of Northeastern Maine | Dental Hygienist | 700 Mount Hope Ave, Suite 320, Bangor, ME 04401-5691 | 2012-03-20 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1104476811 | Janet May | Counselor | 49 16th St, Bangor, ME 04401-3122 | 2019-09-14 |
| 1811471766 | Tristan Oliver Greenlaw | Counselor | 9 Central St Ste 401, Bangor, ME 04401-5168 | 2018-09-17 |
| 1699257782 | Jesse Robinson Call | Counselor | 304 Hancock St Ste 3b, Bangor, ME 04401-6573 | 2018-09-05 |
| 1225551203 | Macy Marie Pelletier | Counselor | 30 Summer St Ste 5, Bangor, ME 04401-6467 | 2017-07-20 |
| 1356680995 | Kaleigh Marie Dupuis | Counselor | 43 Columbia St Ste 12, Bangor, ME 04401-6346 | 2013-02-01 |
| 1063651792 | Tamara J Hunt | Counselor | 31 Central St Ste 201, Bangor, ME 04401-5146 | 2009-02-19 |
| 1093872327 | Keith Laplante | Counselor | 70 E Broadway, Bangor, ME 04401-3425 | 2007-01-03 |
| 1003971912 | Debbie Lynn Webber | Counselor | 24 Springer Road, 1 Springer Place Suite 202, Bangor, ME 04401 | 2006-12-22 |
| 1871676890 | Robin V Hamilton | Counselor | 304 Hancock St Ste 2b, Families and Children Together, Bangor, ME 04401-6573 | 2006-10-23 |
| 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.