1952360760 NPI number — TRANSITIONS COUNSELING, INC.

Table of content: (NPI 1952360760)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952360760 NPI number — TRANSITIONS COUNSELING, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TRANSITIONS COUNSELING, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952360760
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/01/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
583 FOREST AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTLAND
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04101-1547
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-773-8886
Provider Business Mailing Address Fax Number:
207-773-8887

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
583 FOREST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORTLAND
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04101-1547
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-773-8886
Provider Business Practice Location Address Fax Number:
207-773-8887
Provider Enumeration Date:
03/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FOX
Authorized Official First Name:
KELLI
Authorized Official Middle Name:
STAR
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
207-773-8886

Provider Taxonomy Codes

  • Taxonomy code: 261QR0405X , with the licence number:  246645 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0801X , with the licence number: 411170 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 132060101 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1952360760 . This is a "PACIFIC CARE" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1952360760 . This is a "AETNA" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1952360760 . This is a "ANTHEM BCBS" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1952360760 . This is a "UNITED BEHAVIORAL HEALTH" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1952360760 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1952360760 . This is a "US HEALTH" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1952360760 . This is a "MARTIN'S POINT HEALTH" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1952360760 . This is a "MMC PHO" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1952360760 . This is a "DIRIGO HEALTH" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1952360760 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 1952360760 . This is a "HEALTH PLANS, INC." identifier , issued by the state of ( ME ) . This identifiers is of the category "OTHER".
  • Identifier: 132060100 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 132060000 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




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