MAXINE WOLPH-JOHNSON (NPI# 1194964114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194964114 |
| Entity Type | Individual |
| Full Name | MAXINE WOLPH-JOHNSON |
| Practice Address |
18 Common St Waterville ME 04901-6678 |
| Mailing Address |
Po Box 288 Anson ME 04911-0288 |
| Practice Telephone | 2076964225 |
| Practice Fax Number | 2076964211 |
| Enumeration Date | 2009-02-14 |
| Last Update Date | 2009-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC122 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 431821099 | 05 |
| Street Address |
18 COMMON ST |
| City | WATERVILLE |
| State | ME |
| Zip Code | 04901-6678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174899397 | Life Management Coaching Solutions | Community/Behavioral Health | 18 Common St, Suite 203, Waterville, ME 04901-6678 | 2012-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
| 1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
| 1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
| Find all providers in zip 04901 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
| 1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
| 1356847115 | Jessika Lynn Duprey | Counselor | 32 College Ave Ste 206, Waterville, ME 04901-6100 | 2018-04-02 |
| 1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
| 1669827846 | Gerry Dunn | Counselor | 10 Water St Ste 303, Waterville, ME 04901-6566 | 2016-04-26 |
| 1295198745 | Skyla Littlefield | Counselor | 229a Main St, Waterville, ME 04901-6119 | 2016-04-01 |
| 1083084271 | Lila Zanuccoli | Counselor | 21 Airport Rd, Waterville, ME 04901-4502 | 2015-09-30 |
| 1679903025 | Brenda C Gilbert | Counselor | 32 College Ave., Waterville, ME 04901 | 2013-11-22 |
| 1184995516 | Tina L Roy | Counselor | 16 Common St, Waterville, ME 04901-6611 | 2012-01-17 |
| 1114209137 | Darleen Swift-potter | Counselor | 10 Railroad Sq, Waterville, ME 04901-6133 | 2011-09-15 |
| Find all providers in WATERVILLE | ||||
| City | WATERVILLE |
| Zip Code | 04901 |
Please comment or provide details below to improve the information on MAXINE WOLPH-JOHNSON.
| 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.