Active NPIIndividual provider

Jennifer G Buckingham, LCPC

Counselor, Professional in Randolph, Maine

NPI Number1376760694
Practice location
9 Hillcrest Ave, Randolph, ME 04346-5131
Fax
207-582-9653
Last updated
June 10, 2021

Jennifer G Buckingham is a Counselor, Professional based in Randolph, ME. Jennifer G Buckingham practices in Randolph, ME and has the professional credentials of LCPC. The NPI Number for Jennifer G Buckingham is 1376760694 and holds a License No. XL2989 (ME). The current practice location address for Jennifer G Buckingham is 9 Hillcrest Ave, Randolph, ME 04346-5131 and can be reached out via phone at 207-582-9206 and via fax at 207-582-9653.

Provider Profile Details

NPI Number
1376760694
Provider Name
Jennifer G Buckingham
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
9 Hillcrest Ave, Randolph, ME 04346-5131
Phone Number
207-582-9206
Fax Number
207-582-9653
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
April 19, 2007
Last Update Date
June 10, 2021
Certification Date
June 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Hillcrest Ave
Randolph, ME 04346-5131
State
Maine
Zip
04346-5131
Phone Number
207-582-9206
Fax Number
207-582-9653
Randolph, ME 04346Get directions →

Provider Business Mailing Address Details

Address
901 Washington Ave
Portland, ME 04103-2737
City
Portland
State
ME
Zip
04103-2737
Phone Number
207-871-1200
Fax Number
207-871-1232

License Information

License Number (1)
XL2989
License State (1)
ME
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
CC3528
License State (2)
ME
Taxonomy (2)
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer G Buckingham, LCPC?

The NPI number of Jennifer G Buckingham, LCPC is 1376760694. It was assigned on April 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Jennifer G Buckingham, LCPC?

Jennifer G Buckingham, LCPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in ME under license number XL2989.

Where does Jennifer G Buckingham, LCPC practice?

The practice location is 9 Hillcrest Ave, Randolph, ME 04346-5131. The office can be reached at 207-582-9206 (phone) or 207-582-9653 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376760694 directly on the NPPES registry website.

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