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BETHANIE JACQUES LCPC
NPI 1669732152
Counselor - Professional in Portland, ME

Active since May 18, 2012PECOS Enrolled
741 WARREN AVE, PORTLAND, ME 04103(207) 879-6165(207) 879-7466 Get Directions Write a Review

NPPES record last updated: July 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethanie Jacques Lcpc NPPES

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

BETHANIE JACQUES LCPC (NPI 1669732152) is an individual professional provider in Portland, Maine, licensed in Maine (CC4878) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669732152
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameBETHANIE JACQUESCredential: LCPC
Location Address741 WARREN AVEPortland, ME 04103-1007
Mailing AddressPo Box 150Westbrook, ME 04098-0150 · (207) 879-6165 · Fax (207) 879-7466
Phone(207) 879-6165
Fax(207) 879-7466
Sole ProprietorYes
Enumeration DateMay 18, 2012
Last NPPES UpdateJuly 24, 2022
NPPES CertifiedJuly 24, 2022
✔ NPI 1669732152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in ME · CC4878✔ Licensed in ME · XL3960
741 WARREN AVE, Portland, ME 04103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethanie Jacques Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASA INC
Community/Behavioral Health
741 WARREN AVE
PORTLAND, ME 04103
Cumberland County (207) 879-6165
LEA MCDONALD M.S.
Behavior Analyst
741 WARREN AVE
PORTLAND, ME 04103
Cumberland County (207) 879-6165
JAMES M PEASE LMSW-CC
Social Worker (Clinical)
741 WARREN AVE
PORTLAND, ME 04103
Cumberland County (207) 879-6165
CASA, INC
Custodial Care Facility (Adult Care Home)
741 WARREN AVE
PORTLAND, ME 04103
Cumberland County (207) 879-6165
CASA, INC.
Custodial Care Facility (Adult Care Home)
741 WARREN AVE
PORTLAND, ME 04103
Cumberland County (207) 879-6165
TRACY E HALLER LCSW
Social Worker (Clinical)
741 WARREN AVE
PORTLAND, ME 04103
Cumberland County (207) 879-6165

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 Bethanie Jacques's NPI number?

The NPI number for Bethanie Jacques is 1669732152. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Where is Bethanie Jacques located?

Bethanie Jacques practices at 741 Warren Ave, Portland, ME 04103. The listed phone number is (207) 879-6165.

What is Bethanie Jacques's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bethanie Jacques enrolled in Medicare?

Yes. Bethanie Jacques is registered in the Medicare PECOS enrollment system.

What insurance does Bethanie Jacques accept?

Health plans from Anthem Blue Cross and Blue Shield list Bethanie Jacques 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 Bethanie Jacques was last updated on July 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.