CINDY JEAN MATHIESON (NPI# 1053769505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053769505 |
| Entity Type | Individual |
| Full Name | CINDY JEAN MATHIESON |
| Other Name | CINDY MATHIESON IBECHEM |
| Credential | LCPC-C |
| Practice Address |
40 Summer St Bangor ME 04401-7144 |
| Practice Telephone | 2079454240 |
| Practice Fax Number | 2079903660 |
| Mailing Telephone | 2079454240 |
| Mailing Fax Number | 2079903660 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2017-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
XL4275 | ME | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 474 Main St, Springvale, ME 040831409 | 2073241500 | 2074905263 |
| Street Address |
40 SUMMER ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-7144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385591 | Lucy Funkhouser | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2020-08-05 |
| 1316594617 | Kalli Marie Mallory | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2019-08-21 |
| 1871148072 | Davina K Stiles | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2019-08-05 |
| 1881124337 | Sasha S. Perkins | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2017-06-18 |
| 1356881114 | Rudie Robinson | Counselor | 40 Summer St, Bangor, ME 04401-7144 | 2017-02-27 |
| 1508319278 | Kathryn Lowery | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2016-07-29 |
| 1871957373 | Kelly Harmon | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2016-04-11 |
| 1528420411 | Christopher Young | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2016-03-22 |
| 1730540626 | Douglas Towle | Counselor | 40 Summer St, Bangor, ME 04401-7144 | 2016-03-19 |
| 1881050300 | Shannon Watts | Social Worker | 40 Summer St, Bangor, ME 04401-7144 | 2016-01-13 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| 1427419555 | Jennifer Rose Morris | Counselor | 11 Cumberland Street, Apt. 2, Bangor, ME 04401 | 2016-03-17 |
| 1528462926 | Linda A Cousens | Counselor | 61 Main St Ste 43, Bangor, ME 04401-6397 | 2014-10-14 |
| 1952694564 | Lillian Ann Williams | Counselor | 157 Park St Ste 35, Bangor, ME 04401-5094 | 2011-05-16 |
| 1144530908 | Charlee M Kent | Counselor | 179 Indiana Ave, Bangor, ME 04401-4365 | 2010-10-14 |
| 1467768952 | Shelly Marie Dyer | Counselor | 1096 Ohio St, Bangor, ME 04401-2850 | 2010-08-23 |
| 1851611388 | Dawn Levasseur | Counselor | 116 Hammond St Ste 1, Bangor, ME 04401-4915 | 2010-06-07 |
| 1578892220 | Peter Osberg | Counselor | 268 Stillwater Ave., Acadia Hospital Corp., Bangor, ME 04401 | 2009-12-09 |
| 1083820047 | Joanna Leslie Campbell | Counselor | 20 Labarca Ln, Bangor, ME 04401-2645 | 2007-05-15 |
| 1649390915 | Maynard L Jalbert | Counselor | 157 Park St Ste 22, Bangor, ME 04401-5094 | 2007-03-30 |
| 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.