MEDICARE: TRANSITIONS COUNSELING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	246645	ME
2	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	411170	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1952360760	OTHER	ME	PACIFIC CARE
3	1952360760	OTHER	ME	AETNA
4	1952360760	OTHER	ME	ANTHEM BCBS
5	1952360760	OTHER	ME	UNITED BEHAVIORAL HEALTH
6	1952360760	OTHER	ME	HARVARD PILGRIM
7	1952360760	OTHER	ME	US HEALTH
8	1952360760	OTHER	ME	MARTIN'S POINT HEALTH
9	1952360760	OTHER	ME	MMC PHO
10	1952360760	OTHER	ME	DIRIGO HEALTH
11	1952360760	OTHER	ME	UNITED HEALTHCARE
12	1952360760	OTHER	ME	HEALTH PLANS, INC.
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952360760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSITIONS COUNSELING, INC.

Provider Business Mailing Address
First Line	:	583 FOREST AVE
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04101-1547
Country	:	US
Telephone Number	:	207-773-8886
Fax Number	:	207-773-8887

Provider Business Practice Location Address
First Line	:	583 FOREST AVE
Second Line	:
City	:	PORTLAND
State	:	ME
Zip	:	04101-1547
Country	:	US
Telephone Number	:	207-773-8886
Fax Number	:	207-773-8887

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	KELLI STAR FOX
Credential	:	LCSW, LADC, CCS
Telephone Number	:	207-773-8886

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	12/01/2008

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