Luna Aurelia Colt, LCPC-C – Mental Health Counselor

Key facts

NPI: 1013751155
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: XL7463 (ME)
Practice address: 6 Cumberland St
Brunswick, ME 04011-2161
Phone: (802) 595-3759
NPI assigned: Jun 24, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Aurelia Counseling LLC Mental Health Counselor · Brunswick, ME · NPI 1932948072

NPD Authorized official MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
XL7463	ME	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Aurelia Counseling LLC	Mental Health	Current since Jun 30, 2024	Accepting new patients

Locations

6 Cumberland St
Brunswick, ME 04011
Phone (207) 729-3092

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	XL7463	ME	Yes

Addresses

Primary practice location

6 Cumberland St
Brunswick, ME 04011-2161

Mailing address

517 Main St
South Portland, ME 04106-5403
Phone (802) 595-3759

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 24, 2024.

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1013751155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 MAIN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041065403",
            "telephone_number": "802-595-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CUMBERLAND ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112161",
            "telephone_number": "802-595-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLT",
        "first_name": "LUNA",
        "middle_name": "AURELIA",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL7463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

All providers in Brunswick, ME · Mental Health Counselor in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.