TIFFANY R. MANSON (NPI# 1649717380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649717380 |
| Entity Type | Individual |
| Full Name | TIFFANY R. MANSON |
| Credential | LCPC,CADC |
| Practice Address |
331 Pine St Fl 1 Lewiston ME 04240-6308 |
| Mailing Address |
331 Pine St Lewiston ME 04240-6308 |
| Practice Telephone | 2072419332 |
| Practice Fax Number | 2073446177 |
| Mailing Telephone | 2072419332 |
| Mailing Fax Number | 2073446177 |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2019-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC5228 | ME | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC5236 | ME | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
XL4798 | ME | Behavioral Health & Social Service Providers |
| Street Address |
331 PINE ST FL 1 |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922658988 | Bailey G Knox | Counselor | 64 Lisbon St Ste 2, Lewiston, ME 04240-8064 | 2019-09-12 |
| 1538558341 | Michael A Thomas | Counselor | 14 Nancy St, Lewiston, ME 04240-4835 | 2015-01-16 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1861794075 | Sara M Karam | Counselor | 72 Strawberry Avenue, Lewiston, ME 04240 | 2010-11-19 |
| 1811204191 | Larry Alan Terherst | Counselor | 1702 16th Ave, Lewiston, ID 83501-4023 | 2010-09-08 |
| 1942533146 | Jessica C Carlson | Counselor | 75 Central Ave, Lewiston, ME 04240-6031 | 2009-09-08 |
| 1871600064 | Sheri A Clark | Counselor | 35 Bardwell St, Lewiston, ME 04240-6335 | 2006-08-24 |
| 1699762823 | Nina J Woods | Counselor | 307 Saint Johns Way, Suite 3, Lewiston, ID 83501-2435 | 2005-10-03 |
| 1851900336 | Allison Barbara Andrews | Counselor | 100 Campus Ave Ste A&b, Lewiston, ME 04240-6040 | 2020-07-30 |
| 1174152623 | Shannon Marie Jones | Counselor | 1118 F St # B, Lewiston, ID 83501-1930 | 2020-04-06 |
| Find all providers in LEWISTON | ||||
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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.