Provider Demographics
NPI:1952360760
Name:TRANSITIONS COUNSELING, INC.
Entity type:Organization
Organization Name:TRANSITIONS COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:STAR
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LADC, CCS
Authorized Official - Phone:207-773-8886
Mailing Address - Street 1:583 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-1547
Mailing Address - Country:US
Mailing Address - Phone:207-773-8886
Mailing Address - Fax:207-773-8887
Practice Address - Street 1:583 FOREST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-1547
Practice Address - Country:US
Practice Address - Phone:207-773-8886
Practice Address - Fax:207-773-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME246645261QR0405X
ME411170261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME132060101Medicaid
ME1952360760OtherPACIFIC CARE
ME1952360760OtherAETNA
ME1952360760OtherANTHEM BCBS
ME1952360760OtherUNITED BEHAVIORAL HEALTH
ME1952360760OtherHARVARD PILGRIM
ME1952360760OtherUS HEALTH
ME1952360760OtherMARTIN'S POINT HEALTH
ME1952360760OtherMMC PHO
ME1952360760OtherDIRIGO HEALTH
ME1952360760OtherUNITED HEALTHCARE
ME1952360760OtherHEALTH PLANS, INC.
ME132060100Medicaid
ME132060000Medicaid
ME1952360760OtherPACIFIC CARE