STACY MARISSA FARESE (NPI# 1154790814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154790814 |
| Entity Type | Individual |
| Full Name | STACY MARISSA FARESE |
| Practice Address |
314 Alfred St Biddeford ME 04005-3102 |
| Mailing Address |
Po Box 186 Wells ME 04090-0186 |
| Practice Telephone | 2072162637 |
| Mailing Telephone | 9787328756 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC5472 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICARE PTAN Y10400 | Y10400 | 01 |
| Street Address |
314 ALFRED ST |
| City | BIDDEFORD |
| State | ME |
| Zip Code | 04005-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578895280 | Suzanne Marie Sprague | Massage Therapist | 314 Alfred St, Biddeford, ME 04005-3102 | 2010-02-04 |
| 1932706983 | Kylie Findlay | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-10-02 |
| 1508470279 | Allison J Engelhardt | Social Worker | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-09-01 |
| 1437769049 | Madelyn Alexandra Sauget | Social Worker | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-08-07 |
| 1336759398 | Eva Behan Light | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-08-05 |
| 1306475496 | Rebecca Leigh Brown | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-04-02 |
| 1295375848 | Jacqueline Klock | Social Worker | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-01-12 |
| 1073153672 | Mallory Nicole Grobe | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-01-10 |
| 1114567807 | Timothy Fuller | Social Worker | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-01-09 |
| 1730644675 | Glenn John Simpson | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600479 | Hilary Mitchell-clark | Massage Therapist | 311 Alfred St. Massage Craft, Biddeford, ME 04005 | 2018-12-16 |
| 1598266793 | Galicia Fryzlewicz | Physical Medicine & Rehabilitation | 11 Hills Beach Road, Biddeford, ME 04005 | 2018-02-22 |
| 1487175550 | Emily Abbie Burns | Dentist | 125-126 Shops Way, Biddeford, ME 04005 | 2017-06-29 |
| 1811365513 | Sarah D. Shepherd, D.o.llc | Clinic/Center | 27 Wadlin Road, Biddeford, ME 04005 | 2015-09-11 |
| 1598012213 | Shayne Mcmahon Foley | Physician Assistant | 1 Medial Center Drive, Biddeford, ME 04005 | 2012-08-13 |
| 1174807374 | Justin Clark Cialfi | Counselor | 6d Wellspring Road, Biddeford, ME 04005 | 2011-10-06 |
| 1689981763 | Ann Burton | Physical Therapist | 4 Autumn Ln, Biddeford, ME 04005 | 2010-09-09 |
| 1164733978 | Christopher Patrick Blomberg | Internal Medicine | 9 Healthcare Dr Ste 105, Biddeford, ME 04005 | 2010-06-25 |
| 1821324815 | Oceanside Community Services | Community/Behavioral Health | 22 W Cole Rd Ste 103, Biddeford, ME 04005 | 2009-10-26 |
| 1386979383 | New Communities, Inc. | Assisted Living Facility | 2 Dartmouth Street, Biddeford, ME 04005 | 2009-10-08 |
| Find all providers in zip 04005 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617578 | Mindful Soul Counseling, LLC | Counselor | 2 Main St Ste 18-223, Biddeford, ME 04005-2069 | 2020-10-25 |
| 1871062281 | Jessica Clarke Wallner | Counselor | 2 Main St Ste 223, Biddeford, ME 04005-2041 | 2018-11-14 |
| 1134671464 | Erin Pontbriand | Counselor | 110 Saco Falls Way Ste 425, Biddeford, ME 04005-2083 | 2016-11-03 |
| 1487012688 | Margaret Doherty | Counselor | 275 Main St Ste 205, Biddeford, ME 04005-2432 | 2016-02-02 |
| 1629261649 | Alfred F. Cialfi | Counselor | 6 Wellspring Rd Ste D, Biddeford, ME 04005-9415 | 2007-08-22 |
| 1255411567 | Gary Pleau | Counselor | 275 Main St Ste 204, Biddeford, ME 04005-2432 | 2006-10-17 |
| 1932706983 | Kylie Findlay | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-10-02 |
| 1336759398 | Eva Behan Light | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-08-05 |
| 1306475496 | Rebecca Leigh Brown | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-04-02 |
| 1073153672 | Mallory Nicole Grobe | Counselor | 314 Alfred St, Biddeford, ME 04005-3102 | 2020-01-10 |
| Find all providers in BIDDEFORD | ||||
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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.