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JASON WILLIAM NICKERSON CADC
NPI 1841722378
Counselor - Addiction (Substance Use Disorder) in Portland, ME

Active since April 03, 2017
72 AUBURN ST, PORTLAND, ME 04103(207) 245-1800(207) 899-1599 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jason William Nickerson Cadc NPPES

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

JASON WILLIAM NICKERSON CADC (NPI 1841722378) is an individual addiction (substance use disorder) provider in Portland, Maine, licensed in Maine (CAC5536) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1841722378
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJASON WILLIAM NICKERSONCredential: CADC
Location Address72 AUBURN STPortland, ME 04103-2104
Mailing Address72 Auburn StPortland, ME 04103-2104 · (207) 245-1800 · Fax (207) 899-1599
Phone(207) 245-1800
Fax(207) 899-1599
Sole ProprietorNo
Enumeration DateApril 3, 2017
✔ NPI 1841722378 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 · CAC5536
72 AUBURN ST, Portland, ME 04103
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Other Providers at the Same Location NPPES 2

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

GRACE STREET SERVICES, LLC
Substance Abuse Rehabilitation Facility
72 AUBURN ST
PORTLAND, ME 04103
Cumberland County (207) 245-1800
HEATHER LYNN MALONEY CADC
Counselor (Addiction (Substance Use Disorder))
72 AUBURN ST
PORTLAND, ME 04103
Cumberland County (207) 245-1800

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 Jason Nickerson's NPI number?

The NPI number for Jason Nickerson is 1841722378. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Jason Nickerson located?

Jason Nickerson practices at 72 Auburn St, Portland, ME 04103. The listed phone number is (207) 245-1800.

What is Jason Nickerson'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 Jason Nickerson was last updated on April 3, 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.