PHOENIXNEST COUNSELING (NPI# 1285235770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285235770 |
Entity Type | Organization |
Organization Name | PHOENIXNEST COUNSELING |
Practice Address |
41 Depot St Bridgton ME 04009-1241 |
Practice Telephone | 2075120922 |
Mailing Telephone | 2075120922 |
Enumeration Date | 2020-11-03 |
Last Update Date | 2020-11-03 |
Authorized Official Name | HEATHER M NEWTON BROWN (OWNER) |
Authorized Official Telephone | 2075120922 |
Authorized Official Credential | LCPC, NCC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
41 DEPOT ST |
City | BRIDGTON |
State | ME |
Zip Code | 04009-1241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124071063 | Colleen Elaine Bolduc | Counselor | 41 Depot St, Bridgton, ME 04009-1212 | 2006-05-19 |
1851936710 | Deerspring Wellness, LLC | Counselor | 41 Depot St, Bridgton, ME 04009-1241 | 2019-11-14 |
1073912960 | Heather M Newton Brown | Counselor | 41 Depot St, Bridgton, ME 04009-1241 | 2014-08-18 |
1538179296 | Barbara Joyce Sparrow | Counselor | 41 Depot St, Bridgton, ME 04009-1212 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
1164783452 | Kevin Jenkins | Internal Medicine | 10 Hospital Dr, Bridgton, ME 04009 | 2012-06-03 |
1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
Find all providers in zip 04009 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609476852 | Allied Community Services LLC | Community/Behavioral Health | 476 Sabattus St, Lewiston, ME 04240-4111 | 2020-10-27 |
1124627765 | Peace Care Services LLC | Community/Behavioral Health | 145 Lisbon St Ste 508, Lewiston, ME 04240-7241 | 2020-10-24 |
1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
1497371868 | Touchstone Support Services LLC | Community/Behavioral Health | 247 Lisbon St # 2, Lewiston, ME 04240-7704 | 2020-06-22 |
1770106916 | Rolling Hills Enterprises, Inc. | Community/Behavioral Health | 124 Canal St Ste 2, Lewiston, ME 04240-7711 | 2020-05-22 |
1871134478 | Nicole Mank, Lcsw, LLC | Community/Behavioral Health | 126 Western Ave # 1026, Augusta, ME 04330-7249 | 2019-10-04 |
1699328336 | Nancy Yombe | Community/Behavioral Health | 280 Stetson Rd, Lewiston, ME 04240-2430 | 2019-07-22 |
1942867676 | At The Helm Counseling and Case Management, LLC | Community/Behavioral Health | 64 Paris St, Norway, ME 04268-5634 | 2019-05-29 |
1629530530 | Fraser Clinical Consultation Services, LLC | Community/Behavioral Health | 96 Harlow St Ste 214, Bangor, ME 04401-4981 | 2019-04-01 |
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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.