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
Practice Address 48 Free St.
Mezzanine Level
ME 04101
Practice Telephone 2078081384
Practice Fax Number 2072211710
Mailing Address 48 Free St.
Mezzanine Level
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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477163657 Kevin Charles Reiser Counselor 2318 Ne Martin Luther King Blvd, Portland, OR 97212-3715 2020-08-03
1881203628 Beau Curtiss Counselor 7916 Se Foster Rd Ste 203, Portland, OR 97206-4289 2020-07-28
1851916886 Jonathan Cross Counselor 49 Montrose Ave Apt 3, Portland, ME 04103-2442 2020-06-16
1639703960 Elizabeth Ann Anderson Counselor 1820 Sw Vermont St Ste J, Portland, OR 97219-1945 2020-02-25
1194356618 Deforrest Kwesi Jackson Counselor 122 Ne 122nd Ave Ste 200, Portland, OR 97230-2103 2020-02-03
1760012942 Jesse Decker Counselor 7015 N Boston Ave, Portland, OR 97217-5711 2020-01-16
1740829076 Ryan Christianson Counselor 2707 Ne Flanders St, Portland, OR 97232-3159 2020-01-03
1083264477 Kayla Rose Paris Counselor 420 Cumberland Ave, Portland, ME 04101-2823 2019-09-17
1275193260 Anna Khval Counselor 1500 Se 122nd Ave, Portland, OR 97233-1207 2019-06-20
1619435617 Aspiration of Character Counseling Services, LLC Counselor 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 2019-03-08
Find all providers in PORTLAND

Office Location

Street Address 48 FREE ST.
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
1023538154 Derina Boothroyd Audiologist-Hearing Aid Fitter 985 Forest Ave., Portland, ME 04101 2017-06-20
Find all providers in zip 04101


Search similar providers

Zip Code 04101

Improve Information

Please comment or provide details below to improve the information on Portland Opioid Health Home.

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.