CMS-1500 Box 24J / 33a • NPI
1720770365
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
252Y00000X
Licensed & Credentialed Early Intervention Provider Agency
Box 32 Service Location & ZIP+4
1011 FOREST AVE, PORTLAND, ME, 04103-3304
✓ 9-Digit EDI 837 ZIP+4 (04103-3304)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1720770365 (COREENA ANNE BEHNKE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1720770365 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | COREENA ANNE BEHNKE |
| Plain-English Specialty | Licensed & Credentialed Early Intervention Provider Agency NUCC Code: 252Y00000X (Early Intervention Provider Agency) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1011 FOREST AVE, PORTLAND, ME, 04103-3304 |
| Practice Telephone / Fax | Tel: (207) 781-8881 |
| Administrative Mailing Address | 5 COLONIAL DR, RAYMOND, ME, 04071-6042 |
| Enumeration & Last Sync | Enumerated: 2023-05-23 | CMS Record Updated: 2023-05-23 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (252Y00000X)
What Does Taxonomy Code 252Y00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 252Y00000X translates to:
"Licensed & Credentialed Early Intervention Provider Agency"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (COREENA ANNE BEHNKE)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
252Y00000X — Early Intervention Provider AgencyPlain English: Licensed & Credentialed Early Intervention Provider Agency | State: ME | License: 328550 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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