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JEREMY MATTHEW CROCKETT CADC
NPI 1780986315
Counselor - Addiction (Substance Use Disorder) in Bangor, ME

Active since December 02, 2010

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Matthew Crockett Cadc NPPES

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

JEREMY MATTHEW CROCKETT CADC (NPI 1780986315) is an individual addiction (substance use disorder) provider in Bangor, Maine, licensed in Maine (CAC4227) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1780986315
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMY MATTHEW CROCKETTCredential: CADC
Location Address629 MAIN STBangor, ME 04401-6848
Mailing Address629 Main StBangor, ME 04401-6848 · (207) 990-2870
Phone(207) 990-2870
Sole ProprietorNo
Enumeration DateDecember 2, 2010
✔ NPI 1780986315 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
License✔ Licensed in ME · CAC4227
629 MAIN ST, Bangor, ME 04401
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

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

RONDA ANDERSON
Counselor (Addiction (Substance Use Disorder))
629 MAIN ST
BANGOR, ME 04401
Penobscot County (207) 990-2870
MANNA INC.
Substance Abuse Rehabilitation Facility
629 MAIN ST
BANGOR, ME 04401
Penobscot County (207) 990-2870
CASEY E HARRIS CADC, MHRT-C
Counselor (Addiction (Substance Use Disorder))
629 MAIN ST
BANGOR, ME 04401
Penobscot County (207) 990-2870
DAYLIGHT RESIDENTIAL CARE LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
629 MAIN ST
BANGOR, ME 04401
Penobscot County (682) 373-1189
AMY RICHARD
Counselor (Addiction (Substance Use Disorder))
629 MAIN ST
BANGOR, ME 04401
Penobscot County (207) 990-2870
MR. DAVID E.A. PRESUTTE LCPC
Counselor (Mental Health)
629 MAIN ST
BANGOR, ME 04401
Penobscot County (207) 942-6387
MANNA INC.
Community/Behavioral Health
629 MAIN ST
BANGOR, ME 04401
Penobscot County (207) 990-2870
MS. AIMEE MICHELLE CYR LADC
Counselor (Addiction (Substance Use Disorder))
629 MAIN ST
BANGOR, ME 04401
Penobscot County (207) 990-2870

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 Jeremy Crockett's NPI number?

The NPI number for Jeremy Crockett is 1780986315. It was assigned to this individual provider in the NPPES registry on December 2, 2010.

Where is Jeremy Crockett located?

Jeremy Crockett practices at 629 Main St, Bangor, ME 04401. The listed phone number is (207) 990-2870.

What is Jeremy Crockett's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeremy Crockett was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.