ROGER PIERRE SHEVENELL JR. (NPI# 1841651445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841651445 |
| Entity Type | Individual |
| Full Name | ROGER PIERRE SHEVENELL JR. |
| Credential | LADC |
| Practice Address |
663 Granite St Freeport ME 04032-6288 |
| Practice Telephone | 2076531169 |
| Mailing Telephone | 2076531169 |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LC853 | ME | Behavioral Health & Social Service Providers |
| Street Address |
663 GRANITE ST |
| City | FREEPORT |
| State | ME |
| Zip Code | 04032-6288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355920 | Joyce Mary Nadeau | Psychologist | 4 Picnic Hill Rd, Freeport, ME 04032 | 2019-03-18 |
| 1689157729 | Tim Spaulding | Occupational Therapist | Hawthorne House, 6 Old County Rd, Freeport, ME 04032 | 2018-09-14 |
| 1538698212 | Travis Jeffery Bouchard | Surgery | 601 E. Hampden Ave., #220, Englewood, CA 04032 | 2017-06-07 |
| 1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
| 1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
| 1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
| 1043435928 | Meredith Wall | Physician Assistant | 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 | 2007-04-16 |
| 1437212990 | Phoebe Snovek Prosky | Social Worker | 143 Flying Point Rd, Freeport, ME 04032 | 2006-12-18 |
| 1801955364 | Kenneth Eugene Koenke | Dentist | 37 Bow St, Freeport, ME 04032 | 2006-12-08 |
| 1497851885 | Kathleen Ellen Sullivan | Social Worker | 16 Lincoln St., Suite C, Brunswick, ME 04032 | 2006-09-15 |
| Find all providers in zip 04032 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093198491 | Robbin L Klein Counseling Services | Counselor | 524 W Stephenson St, Suite 209b, Freeport, IL 61032-5057 | 2015-07-02 |
| 1114159811 | Mariann Jacobs | Counselor | 76 S Bergen Pl, 2t, Freeport, NY 11520-3505 | 2009-08-13 |
| 1043485238 | Signe Helen Alexander | Counselor | 1 Old Flying Point Rd, Freeport, ME 04032-6516 | 2008-04-28 |
| 1710105945 | Tyrone Anthony | Counselor | 110 Evans Ave, Freeport, NY 11520-1435 | 2007-04-23 |
| 1104978436 | Sojourn House Inc | Counselor | 565 N Turner Ave, Freeport, IL 61032-3252 | 2007-01-17 |
| 1063025211 | Janiece Kumar | Counselor | 421 W Exchange St, Freeport, IL 61032-4008 | 2020-08-27 |
| 1679109268 | Brenda Riley | Counselor | 1103 N Avenue H, Freeport, TX 77541-4006 | 2020-03-16 |
| 1508331547 | Desiree M. Hamilton | Counselor | 33 Guy Lombardo Ave, Freeport, NY 11520-3637 | 2018-10-05 |
| 1174051213 | Charles Herring | Counselor | 1103 N Avenue H, Freeport, TX 77541-4006 | 2017-06-02 |
| 1619408747 | Joan Desmond | Counselor | 333 N Main St, Freeport, NY 11520-1231 | 2017-03-21 |
| Find all providers in FREEPORT | ||||
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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.