PORTLAND RECOVERY GROUP LLC
NPI 1093492969
Counselor - Addiction (Substance Use Disorder) in Portland, ME

Active since June 30, 2023CLIA 20D2341198 · Waiver
1584 FOREST AVE, PORTLAND, ME 04103(207) 838-4546 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Portland Recovery Group Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTLAND RECOVERY GROUP LLC (NPI 1093492969) is a healthcare organization registered as an addiction (substance use disorder) in Portland, Maine and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through March 29, 2028, maintains a secondary practice location in Portland, and lists Alexander Philip Coupe, Owner, as its authorized official.

NPPES Registry Identity

NPI1093492969
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePORTLAND RECOVERY GROUP LLC
Location Address1584 FOREST AVEPortland, ME 04103-1314
Mailing Address27 Cypress StPortland, ME 04103-2008 · (207) 838-4546
Organization SubpartNo
Authorized OfficialAlexander Philip CoupeOwner · (207) 838-4546
Enumeration DateJune 30, 2023
NPPES CertifiedJune 30, 2023
NPI 1093492969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1584 FOREST AVE, Portland, ME 04103

Secondary Practice Location 1

Location 199 Concord StPortland, ME 04103-3120 · Phone (207) 838-4546

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 20D2341198

Portland Recovery Group · Portland, ME
Active · expires Mar 29, 2028
CLIA Number20D2341198
Laboratory TypeDrug And Alcohol Recovery
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorNatasha L. Williamson
Laboratory Phone(207) 352-1904
Laboratory LocationPortland Recovery Group99 Concord St, Portland, ME 04103
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portland Recovery Group LLC's NPI number?

The NPI number for Portland Recovery Group LLC is 1093492969. It was assigned to this organization in the NPPES registry on June 30, 2023.

Where is Portland Recovery Group LLC located?

Portland Recovery Group LLC is located at 1584 Forest Ave, Portland, ME 04103. The listed phone number is (207) 838-4546.

What is Portland Recovery Group LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Does Portland Recovery Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2341198) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Portland Recovery Group LLC accept?

Health plans from Harvard Pilgrim Health Care list Portland Recovery Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Portland Recovery Group LLC was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.