JESSICA L. DISANTO (NPI# 1750782702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750782702 |
| Entity Type | Individual |
| Full Name | JESSICA L. DISANTO |
| Other Name | JESSICA L. WAKELING |
| Credential | LCPC, CADC |
| Practice Address |
474 Main St Springvale ME 04083-1409 |
| Mailing Address |
190 Riverside St Suite 6b Portland ME 04103-1073 |
| Practice Telephone | 2073241500 |
| Practice Fax Number | 2074905263 |
| Mailing Telephone | 2076612000 |
| Mailing Fax Number | 2076612033 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2017-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC4355 | ME | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC4820 | ME | Behavioral Health & Social Service Providers |
| Street Address |
474 MAIN ST |
| City | SPRINGVALE |
| State | ME |
| Zip Code | 04083-1409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059980 | Ashleigh E. Locklear | Social Worker | 474 Main St, Springvale, ME 04083-1409 | 2019-02-13 |
| 1477031797 | Gabrielle Kempton | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2018-07-30 |
| 1275044992 | Christine Palaima | Physician Assistant | 474 Main St, Springvale, ME 04083-1409 | 2017-10-20 |
| 1922543370 | Christina M. Wilson | Social Worker | 474 Main St, Springvale, ME 04083-1409 | 2016-12-21 |
| 1932578259 | York County Community Action Corp | Clinic/Center | 474 Main St, Springvale, ME 04083-1409 | 2015-09-16 |
| 1902283104 | Maureen A. Green | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2015-04-27 |
| 1689066623 | Victoria Amanda Hynes | Social Worker | 474 Main St, Springvale, ME 04083-1409 | 2015-02-27 |
| 1548667645 | Timothy F. Gauthier | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2014-12-04 |
| 1053740928 | Lindsey M. Stockwell | Social Worker | 474 Main St, Springvale, ME 04083-1409 | 2013-11-01 |
| 1538597422 | Nicole Marie Hutzler | Social Worker | 474 Main St, Springvale, ME 04083-1409 | 2013-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053762567 | Anchor Senior Care Residence | Custodial Care Facility | 25 Oak Street, Springvale, ME 04083 | 2016-06-27 |
| 1154604288 | Sanford Family Eyecare PC | Optometrist | 462 Main St Ste 2, Springvale, ME 04083 | 2011-09-26 |
| 1366763831 | Susan G Lebel | Pharmacist | 12 Sabrina Ln, Springvale, ME 04083 | 2010-06-18 |
| 1093968943 | York County Community Action Corps | Case Management | 6 Merrill Street, Springvale, ME 04083 | 2008-10-23 |
| 1518022870 | Paul M Basko | Chiropractor | 596 Main Street, Springvale, ME 04083 | 2006-12-27 |
| 1578627493 | Celia R Thibodeau | Acupuncturist | 554 Main Street, Springvale, ME 04083 | 2006-12-22 |
| 1396156600 | Robert Mcvety | Dentist | 460 Main Street, Suite #1, Springvale, ME 04083 | 2014-05-09 |
| 1477976397 | Shayne Croy | Social Worker | 469 Main St Ste 304, Springvale, ME 04083 | 2014-01-29 |
| 1770897415 | John Joseph Kiernan | Pharmacist | 464 Main St, Springvale, ME 04083 | 2010-08-05 |
| 1346340692 | Jay Morgan Knudsen | Dentist | 460 Main Street, Suite 1, Springvale, ME 04083 | 2006-09-25 |
| Find all providers in zip 04083 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912350018 | Jillian Marie Deruscio Belleard | Counselor | 460 Main St, Springvale, ME 04083-1874 | 2016-07-13 |
| 1619360781 | Sherri Ann Brooks | Counselor | 469 Main St, Springvale, ME 04083-1870 | 2015-03-12 |
| 1649600628 | Zoe Churchill-vogt | Counselor | 469 Main St, Springvale, ME 04083-1870 | 2013-11-12 |
| 1316286818 | Whitney L. Binette | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2013-02-05 |
| 1053559849 | Nicholas M. Angers | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2009-02-02 |
| 1285742940 | Halya Zadoretzky | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2006-08-25 |
| 1720195480 | Dorothy Mele | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2006-08-25 |
| 1053329250 | Dane Frost | Counselor | 474 Main St, Springvale, ME 04083-1409 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062271 | Megan Joanne Mitchell | Counselor | 471 Howe Hill Road, Greenwood, ME 04255 | 2020-10-30 |
| 1245862150 | Jing Ye | Counselor | 165 Captain John Parker Rd, Phippsburg, ME 04562-4546 | 2020-02-08 |
| 1336770726 | Holly Helena Carletti Alivizatos | Counselor | 43 Coach Lantern Ln W, Scarborough, ME 04074-8510 | 2020-02-04 |
| 1437780590 | Cheryl Bedan | Counselor | 300 Portland Rd Ste 1, Bridgton, ME 04009-4227 | 2020-01-28 |
| 1427694546 | Gerard Fitzgerald | Counselor | 303 Coopers Mills Rd, Windsor, ME 04363-3825 | 2019-11-24 |
| 1922658988 | Bailey G Knox | Counselor | 64 Lisbon St Ste 2, Lewiston, ME 04240-8064 | 2019-09-12 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1609368877 | Laurie Mclean Reckendorf | Counselor | 16 Jamesey Court, Suite 100, New Harbor, ME 04554 | 2018-06-04 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVALE |
| Zip Code | 04083 |
Please comment or provide details below to improve the information on JESSICA L. DISANTO.
| 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.