MINDY BUTLER (NPI# 1861885824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861885824 |
| Entity Type | Individual |
| Full Name | MINDY BUTLER |
| Credential | LCPC, LADC |
| Practice Address |
87 S High St Bridgton ME 04009-1123 |
| Mailing Address |
Po Box 61 Bridgton ME 04009-0061 |
| Practice Telephone | 2076475600 |
| Practice Fax Number | 2076475608 |
| Mailing Telephone | 2078038664 |
| Mailing Fax Number | 2078038664 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2019-11-13 |
| 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) |
CAC5752 | ME | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
XL4553 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | LICENSED CLINICAL PROFESSIONAL COUNSELOR CONDITIONAL | XL4553 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 82 Main St Ste 5b, Bridgton, ME 040091113 | 2078038664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144841396 | Mindy Butler | Student in an Organized Health Care Education/Training Program | 36 1st Ave, Boston, MA 02129-4557 | 2020-04-29 |
| Street Address |
87 S HIGH ST |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447432919 | Robert P Doyle, M.d., P.a. | General Practice | 87 S High St, Bridgton, ME 04009-1123 | 2007-11-27 |
| 1063046084 | Benjamin Wolfson Richards | Counselor | 87 S High St, Bridgton, ME 04009-1123 | 2020-02-28 |
| 1639709579 | Anne Carol Meroney | Counselor | 87 S High St, Bridgton, ME 04009-1123 | 2020-01-20 |
| 1093364127 | Krista Susan Johnston | Counselor | 87 S High St, Bridgton, ME 04009-1123 | 2019-09-11 |
| 1760859987 | Gerald Butler | Counselor | 87 S High St, Bridgton, ME 04009-1123 | 2015-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
| 1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
| 1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
| 1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
| 1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
| 1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
| 1164783452 | Kevin Jenkins | Internal Medicine | 10 Hospital Dr, Bridgton, ME 04009 | 2012-06-03 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
| Find all providers in zip 04009 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780590 | Cheryl Bedan | Counselor | 300 Portland Rd Ste 1, Bridgton, ME 04009-4227 | 2020-01-28 |
| 1053778324 | Alexander Thorn | Counselor | 41 Depot St Ste 203, Bridgton, ME 04009-1241 | 2016-01-18 |
| 1508222605 | Linda Thorn | Counselor | 41 Depot St Ste 1a, Bridgton, ME 04009-1298 | 2016-01-06 |
| 1194018556 | Echo E Lowell | Counselor | 26 Cottage St Apt A, Bridgton, ME 04009-1136 | 2011-05-18 |
| 1124165527 | Linda A Bennett | Counselor | 59 S High St, Bridgton, ME 04009-1123 | 2007-02-01 |
| 1043827553 | Kristen M Charest | Counselor | 300 Portland Rd Ste 1, Bridgton, ME 04009-4227 | 2020-09-29 |
| 1851936710 | Deerspring Wellness, LLC | Counselor | 41 Depot St, Bridgton, ME 04009-1241 | 2019-11-14 |
| 1134558638 | Brittainy S Knight | Counselor | 32 N High St, Bridgton, ME 04009-1125 | 2013-11-05 |
| 1841573789 | Breathing Space LLC | Counselor | 132 Main St, Suite 205, Bridgton, ME 04009-1127 | 2011-09-27 |
| 1386875912 | Jeremy Cass | Counselor | 32 N High St, Bridgton, ME 04009-1125 | 2009-07-30 |
| Find all providers in BRIDGTON | ||||
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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.