CMS-1500 Box 24J / 33a • NPI
1942920533
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
2083A0300X (CMS 84)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine — Addiction Medicine
Box 32 Service Location & ZIP+4
26 ISLAND AVE, KITTERY, ME, 03904-1614
✓ 9-Digit EDI 837 ZIP+4 (03904-1614)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1942920533 (ASPIRE365 MAINE) 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 | 1942920533 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ASPIRE365 MAINE |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine — Addiction Medicine NUCC Code: 2083A0300X (Preventive Medicine, Addiction Medicine) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 26 ISLAND AVE, KITTERY, ME, 03904-1614 |
| Practice Telephone / Fax | Tel: (385) 352-9696 |
| Administrative Mailing Address | 9350 S 150 E STE 320, SANDY, UT, 84070-2707 |
| Enumeration & Last Sync | Enumerated: 2022-09-01 | CMS Record Updated: 2024-10-14 |
| Authorized Official | ZACHARY JENSON (CEO) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2083A0300X)
What Does Taxonomy Code 2083A0300X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083A0300X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine — Addiction Medicine"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ASPIRE365 MAINE)
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 |
|---|---|
101YA0400X — Counselor, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Counselor, Addiction (Substance Use Disorder) | State: N/A | License: Verified | Primary: Secondary |
103TA0400X — Psychologist, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Addiction (Substance Abuse Disorder) | State: N/A | License: Verified | Primary: Secondary |
163WA0400X — Registered Nurse, Addiction (Substance Use Disorder)Plain English: Licensed & Credentialed Registered Nurse, Addiction (Substance Use Disorder) | State: N/A | License: Verified | Primary: Secondary |
2083A0300X — Preventive Medicine, Addiction MedicinePlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine — Addiction Medicine | State: N/A | License: Verified | Primary: Yes (Primary) |
2084A0401X — Psychiatry & Neurology, Addiction MedicinePlain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist) | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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