Jack Chellis, CADC - Counselor in Old Orchard Beach, ME

Jack Chellis, CADC is a Counselor - Addiction (substance Use Disorder) based in Old Orchard Beach, Maine. Jack Chellis is licensed to practice in Maine (license number CAC5765) and his current practice location is 28 Portland Ave, Old Orchard Beach, Maine. He can be reached at his office (for appointments etc.) via phone at (207) 934-5231.

NPI number for Jack Chellis is 1114317179 and his current mailing address is 28 Portland Ave, Old Orchard Beach, Maine. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114317179.

Contact Information

Jack Chellis, CADC
28 Portland Ave,
Old Orchard Beach, ME 04064-2212
(207) 934-5231
(207) 934-5139

Map and Direction


Healthcare Provider's Profile

Full NameJack Chellis
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location28 Portland Ave, Old Orchard Beach, Maine
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114317179
  • Provider Enumeration Date: 01/29/2015
  • Last Update Date: 01/29/2015

Medical Identifiers

Medical identifiers for Jack Chellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114317179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) CAC5765 (Maine)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Chellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Chellis, CADC
28 Portland Ave,
Old Orchard Beach, ME 04064-2212

Ph: (207) 934-5231
Jack Chellis, CADC
28 Portland Ave,
Old Orchard Beach, ME 04064-2212

Ph: (207) 934-5231

Reviews and Comments


Counselor in Old Orchard Beach, ME

John Swasey,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 91 Ocean Ave Apt 3, Old Orchard Beach, ME 04064
Phone: 603-312-0751    
Mrs. Debra D Guarino, LADC/CCS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 156 Ross Rd, Old Orchard Beach, ME 04064
Phone: 207-710-1644    
Mr. Brendon D Sewall, CADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 28 Portland Ave, Old Orchard Beach, ME 04064
Phone: 207-934-5231    
Jayme Villanueva, LADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 28 Portland Ave, Old Orchard Beach, ME 04064
Phone: 207-937-7001    Fax: 207-934-5139
Roland Thibault, LADC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 28 Portland Ave, Old Orchard Beach, ME 04064
Phone: 207-934-5231    
Eugene Mclaughlin Iii, LADC, CCS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 28 Portland Ave, Old Orchard Beach, ME 04064
Phone: 207-934-5231    

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