Active NPI
Gary Turgeon, LCPC-C
- Social Worker
- Waterville, ME
National Provider Identifier
1023336450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- XL3611
- Practice address
- 58 Elm St.
Waterville, ME 04901 - Phone
- (207) 680-2065
- Fax
- (207) 680-2068
- NPI assigned
- May 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | XL3611 | ME | Primary |
Addresses
Primary practice location
58 Elm St.
Waterville, ME 04901
Mailing address
58 Elm St.
Waterville, ME 04901
Phone (207) 680-2065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412911500 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
157 Park St
Bangor, ME 04401-5000
157 Park St
Suite 5And3
Bangor, ME 04401-5093
Phone (207) 992-0410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL3611 | ME | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Behavioral Healthcare, LLC | Current | Accepting new patients | |
| Appleton Medical Center | Past | Accepting new patients |
Locations
157 Park St
Ste 5
Bangor, ME 04401
Phone (207) 992-0410
222 Saint John St
Ste 113
Portland, ME 04102
Phone (207) 772-2440
58 Elm St
Waterville, ME 04901
Phone (207) 660-9124
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Bangor, ME
- NPI 1215102850
-
- Primary Care Clinic/Center
- Hampden, ME
- NPI 1902229040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1023336450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 ELM ST.",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "04901",
"telephone_number": "207-680-2065",
"fax_number": "207-680-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 ELM ST.",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "04901",
"telephone_number": "207-680-2065",
"fax_number": "207-680-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURGEON",
"first_name": "GARY",
"credential": "LCPC-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-10",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ME",
"license": "XL3611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "412911500",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
- Renee Ann Tracy, LADC
- Patricia Anne Trask, LCPC
- Ryan Marc Treuhaft, LCPC
- Trinity Health of New England Provider Network Organization Inc
- Tumbleweed'S Counseling & Case Management Agency, Inc
- April D Turner, LCSW
- Katherine Joan Turner, R.R.T
- Samantha Turner, LMSW-CC
- David C Tyler, DDS
- Anne T Uecker, PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.