ANDREA AVERY (NPI# 1235626938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235626938 |
| Entity Type | Individual |
| Full Name | ANDREA AVERY |
| Credential | LCPC-C LADC |
| Practice Address |
24 Stone St Ste 101 Augusta ME 04330-5209 |
| Mailing Address |
45 Haskell Haven Rd Windsor ME 04363-3264 |
| Practice Telephone | 2074465773 |
| Mailing Telephone | 2074465773 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC6482 | ME | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
XL5046 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144707837 | Andrea M Avery | Physician Assistant | 701 Washington Ave Ste A, Iowa Falls, IA 50126-2102 | 2018-07-25 |
| Street Address |
24 STONE ST STE 101 |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569619 | G.r.a.y.s. Group, LLC | Counselor | 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 | 2020-05-11 |
| 1366078180 | Tony M Pushard | Counselor | 24 Stone St Ste 204, Augusta, ME 04330-5209 | 2020-03-13 |
| 1154956365 | Meghan E Hopper | Counselor | 24 Stone St Ste 203, Augusta, ME 04330-5209 | 2020-03-09 |
| 1932739117 | Nanci Dawn Porter | Counselor | 8 Summer St, Augusta, ME 04330-5129 | 2020-01-16 |
| 1932682200 | Douglas Paul Weaver Jr. | Counselor | 19 New England Rd, Augusta, ME 04330-0527 | 2018-09-12 |
| 1962947374 | Kayla Turpin | Counselor | 218 S Spring St, Augusta, WI 54722-9385 | 2016-12-21 |
| 1831549211 | Melissa Ann Adams | Counselor | 9 Spruce St, Augusta, ME 04330-5213 | 2016-06-16 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1376935809 | Philip Allen Watkins | Counselor | 12 Frog Holler Ln, Augusta, ME 04330-0453 | 2015-02-20 |
| Find all providers in AUGUSTA | ||||
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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.