Central Maine Family Counseling PA
Organization Active NPI Community/Behavioral Health Agency · Lewiston, ME
NPI 1003001702 · NPPES record last updated Oct 15, 2009
Key facts
- NPI
- 1003001702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CENTRAL MAINE FAMILY COUNSELING PA
- Practice address
- 300 Pine St
Lewiston, ME 04240-6309 - Phone
- (207) 777-3399
- Fax
- (207) 777-3391
- NPI assigned
- Sep 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Jennifer C Wood, LCSW LADC
- Title
- President
- Phone
- (207) 777-3399
Practitioners 27
-
Bethany Johnson, LCPC, LADC, CCS
-
Jennifer C Wood, LADC, LCSW, CCS
-
Jessica Megan Basaldua, LMSW-CC
-
Randee Boulay, LCPC-C
-
Katie Coan, CADC
-
Carol S Despres, LCSW
-
Alicia Ann Escobar, CADC
-
Katlyn Marie Furness, LADC,CCS
-
Joseph M Graham, LCSW
-
Rebecka Lynn Hendry, CADC
-
Veronica Ingrao, LCSW, LICSWLADC, CCS
-
Stacey A Lagrange, CADC
-
Blaine B Linton, LADC, CCS
-
Kimberly Burgum Luchini, LCSW
-
Caitlynn Marie McCauley, LCPC-C
-
Aidan Sinclair, MHRT-C, CADC
-
James Scott Stewart, CADC
-
Jessica Marie Talbot, CADC
-
Sherri Talbot, CADC
-
Chelsey Rowena Tobey, LCSW, LADC
-
Eve Y Worcester, LCPC-C, CADC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191218003132 | ME | Part B Supplier - Clinic/Group Practice | 2466886734 |
Receives reassigned benefits from 3 practitioners Practice locations: Lewiston, ME |
National Provider Directory
Locations
300 Pine St
Lewiston, ME 04240
Phone (207) 777-3399
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
300 Pine St
Lewiston, ME 04240-6309
Mailing address
300 Pine St
Lewiston, ME 04240-6309
Phone (207) 777-3399
Other providers in Lewiston, ME
- Central Maine Endocrinology
- Central Maine Eye Care P.a.
- Central Maine Eye Optical
- Central Maine Eye Surgery Center LLC
- Central Maine Eye Surgery Center LLC
- Central Maine Gastroenterology Associates
- Central Maine Magnetic Imaging Associates
- Central Maine Medical Center
- Central Maine Medical Center
- Central Maine Medical Center
All providers in Lewiston, ME · Community/Behavioral Health Agency in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.