Joseph Anthony Lanzara, LCPC-C
Individual provider Active NPI Professional Counselor · Lincoln, ME
NPI 1023327079 · NPPES record last updated Nov 29, 2010
Key facts
- NPI
- 1023327079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- XL3621 (ME)
- Practice address
- 25 Airport Road
Lincoln, ME 04457 - Phone
- (207) 794-9073
- Fax
- (207) 794-8919
- NPI assigned
- Sep 24, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| CAC2981 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| XL3621 | ME | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Occupational Exchange, Inc | Addiction (Substance Use Disorder) | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL3621 | ME | Yes |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC2981 | ME |
Addresses
Primary practice location
25 Airport Road
Lincoln, ME 04457
Mailing address
29 Franklin St
Bangor, ME 04401-4909
Phone (207) 942-3816
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023327079 | Medicaid | ME |
Other providers in Lincoln, ME
- Jeffrey M Kyes
- Jean L'Italien
- Gerald S Laird
- Lakeview Afch Inc
- Lakeview Terrace Residential Care Facility
- Martine Legassey
- Darlene Marie Leisentritt
- Kara-Beth Levesque
- Libby Family Dentistry
- Durwin Yang Libby
All providers in Lincoln, ME · Professional 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 Nov 29, 2010. 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.