CASEY E HARRIS (NPI# 1316255706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316255706 |
| Entity Type | Individual |
| Full Name | CASEY E HARRIS |
| Credential | CADC, MHRT-C |
| Practice Address |
629 Main St Bangor ME 04401-6848 |
| Practice Telephone | 2079902870 |
| Practice Fax Number | 2079902298 |
| Mailing Telephone | 2079902870 |
| Mailing Fax Number | 2079902298 |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC4607 | ME | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | STATE OF MAINE - CERTIFIED ALCOHOL AND DRUG COUNSELOR LICENSE | CAC4607 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598258972 | Casey Harris | Counselor | 1340 W Tunnel Blvd Ste 230, Houma, LA 70360-2811 | 2018-06-11 |
| 1578092250 | Casey C Harris | Nurse Practitioner | 840 W Floyd Baker Blvd, Gaffney, SC 29341-1845 | 2017-06-07 |
| 1891245833 | Casey Harris | Counselor | 8089 Highway 72 W Ste D, Madison, AL 35758-9531 | 2016-10-13 |
| 1043602501 | Casey J Harris | Student in an Organized Health Care Education/Training Program | 2151 College Ave, Bakersfield, CA 93305-4113 | 2015-02-20 |
| 1053466367 | Casey Alyson Harris | Psychologist | 53 W Jackson Blvd, Suite 602, Chicago, IL 60604-3606 | 2007-01-24 |
| Street Address |
629 MAIN ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588647838 | David E.a. Presutte | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2005-11-21 |
| 1104267954 | Ronda Anderson | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2013-07-09 |
| 1205273786 | Manna Inc. | Substance Abuse Rehabilitation Facility | 629 Main St, Bangor, ME 04401-6848 | 2013-05-24 |
| 1649614728 | Manna Inc. | Community/Behavioral Health | 629 Main St, Bangor, ME 04401-6848 | 2013-04-19 |
| 1437442894 | Holly Ann Merchant | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2011-05-18 |
| 1780986315 | Jeremy Matthew Crockett | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2010-12-02 |
| 1568786499 | Amy Richard | Counselor | 629 Main St, Bangor, ME 04401-6848 | 2010-03-22 |
| 1760665251 | Ardis L White | Counselor | 629 Main St, Bangor, ME 04401-6878 | 2007-12-07 |
| 1699962258 | Aimee Michelle Cyr | Counselor | 629 Main St, Bangor, ME 04401-6878 | 2007-09-27 |
| 1760497200 | Manna Inc | Clinic/Center | 629 Main St, Bangor, ME 04401-6848 | 2006-07-31 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002750 | Alyssa Paige Oliver | Counselor | 689 Odlin Rd, Bangor, ME 04401-6709 | 2020-08-05 |
| 1699310169 | Jessica Coleman | Counselor | 40 Summer St Ste 4, Bangor, ME 04401-7144 | 2019-11-08 |
| 1124663695 | Ericka Tidmore Travers | Counselor | 40 Summer St Unit 4, Bangor, ME 04401-7144 | 2019-11-08 |
| 1194368159 | Olena Kenney | Counselor | 689 Odlin Rd Ste 1, Bangor, ME 04401-6709 | 2019-10-23 |
| 1437719721 | Christina Dawn Levesque | Counselor | 319 State Street, Bangor, ME 04401-0440 | 2019-06-18 |
| 1023516275 | Michelle Crate | Counselor | 27 State St Ste 51, Bangor, ME 04401-5113 | 2018-01-23 |
| 1619346400 | Angela Mcquate | Counselor | 304 Hancock St Ste 2h, Bangor, ME 04401-6573 | 2015-09-22 |
| 1760703870 | Sarah J Falvey | Counselor | 98 Cumberland St, Bangor, ME 04401-5234 | 2010-06-14 |
| 1043404544 | Harry Eli Barron | Counselor | 74 Dowd Rd, Bangor, ME 04401-6700 | 2007-08-29 |
| 1962575787 | Laura Levenson | Counselor | 73 Pine Street, Bangor, ME 04401 | 2006-11-17 |
| 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.