Portland Opioid Health Home
Counselor (Addiction (Substance Use Disorder))

Address: 48 Free St., Mezzanine Level, Portland, ME 04101
Phone: 2078081384

Portland Opioid Health Home (NPI# 1841855301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1841855301
Entity Type Organization
Organization Name PORTLAND OPIOID HEALTH HOME
Practice Address 48 Free St.
Mezzanine Level
Portland
ME 04101
Practice Telephone 2078081384
Practice Fax Number 2072211710
Mailing Address 48 Free St.
Mezzanine Level
Portland
ME 04101
Mailing Telephone 2078081384
Mailing Fax Number 2072211710
Authorized Official Name Constance W Jordan (CEO)
Authorized Official Telephone 2078081384
Authorized Official Credential NP
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-05-09
Last Update Date 2019-05-09

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 101YA0400X Counselor · Addiction (Substance Use Disorder) Behavioral Health & Social Service Providers

Other Provider Identifier

State Identifier Issuer Type Code
ME 193200000X MEDICAID

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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Office Location

Street Address 48 FREE ST.
MEZZANINE LEVEL
City PORTLAND
State ME
Zip Code 04101

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851996987 Karen Tinkham Pharmacist 2r 295 Forest Ave., Portland, ME 04101 2020-12-04
1669076121 Dawn Lisowski Pharmacist 2r 295 Forest Ave, Hannaford Plaza, Portland, ME 04101 2020-11-25
1306450655 Jocylin Egan Nurse Practitioner 442 Congress Street, 2nd Floor, Portland, ME 04101 2020-09-03
1255963559 Portcity Home Healthcare LLC In Home Supportive Care 525 Forest Avenue, Suite 8, Portland, ME 04101 2020-02-05
1578101929 Mohamed Hassan Mohamed Student in an Organized Health Care Education/Training Program 75 Lancaster St Ste 218a, Portland, ME 04101 2019-12-17
1093379224 Alexandra Strawbridge Maurer Acupuncturist 50 A Cove Street, Portland, ME 04101 2019-04-23
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1144733064 Alixandria Elaine Marie Winchell Massage Therapist One City Center, Portland, ME 04101 2017-11-14
1417473638 Rachel S Schwaner Occupational Therapist 78 Danforth Street, Apartment 6, Portland, ME 04101 2017-08-18
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Competitor

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City PORTLAND
Zip Code 04101

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Dataset Information

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.