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TRADECRAFT12 INC.
NPI 1740688472
Clinic/Center - Rehabilitation, Substance Use Disorder in Portland, ME

Active since December 11, 2014CLIA 20D2094100 · Waiver
160 PREBLE ST, PORTLAND, ME 04101(207) 420-7327 Get Directions Write a Review

NPPES record last updated: June 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tradecraft12 Inc. NPPES

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

TRADECRAFT12 INC. (NPI 1740688472) is a healthcare organization registered as a rehabilitation, substance use disorder in Portland, Maine and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through April 9, 2027 and lists Danika Babcock, President, as its authorized official.

NPPES Registry Identity

NPI1740688472
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameTRADECRAFT12 INC.
Location Address160 PREBLE STPortland, ME 04101-2426
Mailing Address38 Deering StreetPortland, ME 04101
Phone(207) 420-7327
Organization SubpartNo
Authorized OfficialDanika BabcockPresident · (207) 329-2444
Enumeration DateDecember 11, 2014
Last NPPES UpdateJune 8, 2017
✔ NPI 1740688472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
160 PREBLE ST, Portland, ME 04101
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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 ›

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 20D2094100

Tradecraft12 · Portland, ME
Active · expires Apr 9, 2027
CLIA Number20D2094100
Laboratory TypeBehavioral Health Facilit
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorJonathan C. Fellers
Laboratory Phone(207) 791-2000
Laboratory LocationTradecraft12160 Preble Street, Portland, ME 04101
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

JENNIFER FORMICOLA LCSW
Counselor (Addiction (Substance Use Disorder))
160 PREBLE ST
PORTLAND, ME 04101
Cumberland County (207) 420-0601
JAMES B SKELTON LCSW, LCAS,LADC, CSI
Counselor (Addiction (Substance Use Disorder))
160 PREBLE ST
PORTLAND, ME 04101
Cumberland County (207) 791-2000
PK HOLDINGS, INC.
Substance Abuse Rehabilitation Facility
160 PREBLE ST
PORTLAND, ME 04101
Cumberland County (207) 420-7327
MS. DANIELLE SHAW CIMINO LCPC-C
Counselor (Mental Health)
160 PREBLE ST
PORTLAND, ME 04101
Cumberland County (207) 347-0940
BRUCE LORNE RAYMOND RN
Registered Nurse (Addiction (Substance Use Disorder))
160 PREBLE ST
PORTLAND, ME 04101
Cumberland County (207) 523-9276

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 Tradecraft12 Inc.'s NPI number?

The NPI number for Tradecraft12 Inc. is 1740688472. It was assigned to this organization in the NPPES registry on December 11, 2014.

Where is Tradecraft12 Inc. located?

Tradecraft12 Inc. is located at 160 Preble St, Portland, ME 04101. The listed phone number is (207) 420-7327.

What is Tradecraft12 Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Tradecraft12 Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 20D2094100) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tradecraft12 Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Tradecraft12 Inc. 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 Tradecraft12 Inc. was last updated on June 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.