Individual provider Active NPI

Luke P House, LCPCCC

  • Mental Health Counselor
  • Gorham, ME
National Provider Identifier
1033795216
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
XL6030 Issued in ME
Practice address
8 Teran St
Gorham, ME 04038-1602
Phone
(207) 831-5777
NPI assigned
Mar 19, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X XL6030 ME Primary

Addresses

Primary practice location

8 Teran St
Gorham, ME 04038-1602

Mailing address

62 Pegasus St
Brunswick, ME 04011-5028
Phone (207) 373-0620

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923000467 ME Practitioner - Mental Health Counselor 1658812375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian Township Tribal GovernmentGroup PAC ID 6103914445, shared by 2 NPIs, 12 clinicians

Practice addresses (Care Compare)

P O Box
Suite 97
Indian TWP, ME 04668-0097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XL6030MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Affiliates Maine, LLC Multi-Specialty CurrentSince Jan 23, 2025 Accepting new patients
Mercy Hospital Multi-Specialty CurrentSince Aug 9, 2024 Accepting new patients
Mercy Hospital CurrentSince Aug 9, 2024 Accepting new patients
Indian Township Tribal Government Multi-Specialty Past Accepting new patients

Locations

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

175 Fore River Pkwy
Portland, ME 04102
Phone (207) 553-6105

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Organizations & group practices 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1033795216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PEGASUS ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040115028",
            "telephone_number": "207-373-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TERAN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381602",
            "telephone_number": "207-831-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "LUKE",
        "middle_name": "P",
        "credential": "LCPCCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL6030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

Verify at the official NPI Registry.