JENNIFER CONLEY (NPI# 1265909857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265909857 |
| Entity Type | Individual |
| Full Name | JENNIFER CONLEY |
| Practice Address |
525 Main St South Portland ME 04106-5462 |
| Practice Telephone | 2078085927 |
| Practice Fax Number | 2077670991 |
| Mailing Telephone | 2078085927 |
| Mailing Fax Number | 2077670991 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 221141 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275888398 | Jennifer Conley | Registered Nurse | 1765 King Ave, Apt. B, Columbus, OH 43212-2009 | 2012-07-14 |
| 1447582648 | Jennifer M Conley | Specialist | 194 Se Crosspoint Dr, Port St Lucie, FL 34983-3161 | 2010-02-12 |
| 1801384185 | Jennifer Brooke Conley | Specialist | 25720 Maple Valley Black Diamond Rd Se, Maple Valley, WA 98038-8313 | 2018-04-23 |
| 1699019992 | Jennifer Rebecca Conley | Social Worker | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2012-11-27 |
| 1023202785 | Jennifer Kristen Conley | Physical Therapist | 8650 Governors Hill Dr, Suite 180, Cincinnati, OH 45249-1372 | 2007-09-05 |
| 1972697985 | Jennifer Lyn Conley | Counselor | 401 Cypress St, Manchester, NH 03103-3628 | 2006-10-03 |
| 1194720862 | Jennifer Conley | Family Medicine | 900 S Adams St, Nevada, MO 64772-3210 | 2005-06-17 |
| Street Address |
525 MAIN ST |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-5462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164484093 | Day One | Clinic/Center | 525 Main St, South Portland, ME 04106-5462 | 2006-04-05 |
| 1972152312 | Courtney Mcnamee | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2019-09-09 |
| 1780233189 | Joseph Lobiondo | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2019-09-09 |
| 1265081673 | Justin Brown | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2019-09-09 |
| 1699324012 | Benjamin Knapp | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2019-09-09 |
| 1649748849 | Maureen Rosa | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2018-11-06 |
| 1376045708 | Sara Dulac | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2018-03-01 |
| 1821532086 | Kierstin Oliver | Counselor | 525 Main St, South Portland, ME 04106-5457 | 2016-12-07 |
| 1386013050 | Monique Rafuse | Counselor | 525 Main St, South Portland, ME 04106-5457 | 2015-09-23 |
| 1134516875 | Tracy Morin | Counselor | 525 Main St, South Portland, ME 04106-5457 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| 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 |
|---|---|---|---|---|
| 1972152312 | Courtney Mcnamee | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2019-09-09 |
| 1780233189 | Joseph Lobiondo | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2019-09-09 |
| 1265081673 | Justin Brown | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2019-09-09 |
| 1699324012 | Benjamin Knapp | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2019-09-09 |
| 1649748849 | Maureen Rosa | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2018-11-06 |
| 1376045708 | Sara Dulac | Counselor | 525 Main St, South Portland, ME 04106-5462 | 2018-03-01 |
| 1821532086 | Kierstin Oliver | Counselor | 525 Main St, South Portland, ME 04106-5457 | 2016-12-07 |
| 1386013050 | Monique Rafuse | Counselor | 525 Main St, South Portland, ME 04106-5457 | 2015-09-23 |
| 1134516875 | Tracy Morin | Counselor | 525 Main St, South Portland, ME 04106-5457 | 2015-04-21 |
| 1003202110 | Kristen Cianelli | Counselor | 525 Main St, South Portland, ME 04106-5457 | 2015-04-15 |
| Find all providers in SOUTH PORTLAND | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
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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.