Mindy Cousineau, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC25119 Issued in ME

Practice address

284 Main St Ste 300
Wilton, ME 04294-3044

Phone

(207) 578-1412

NPI assigned

Jan 10, 2024

Sex

Female

Sole proprietor

Yes

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.

• Western Maine Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Wilton, ME
  • NPI 1932550324
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 13, 2025.

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1043081995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "042940254",
            "telephone_number": "207-578-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 MAIN ST STE 300",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "042943044",
            "telephone_number": "207-578-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Camp Rd",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "ME",
            "postal_code": "042945521",
            "country_code": "US",
            "telephone_number": "207-578-1412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUSINEAU",
        "first_name": "MINDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC22465",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC25119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve R Brod, LCSW
• April J Buchheit, ATC
• Coastal Med Tech Inc
• Ricky P. Condon, L.C.P.C.
• Constellations
• Bryn Ah Doiron, RD, LD
• Eq Maine LLC
• Sierra Irene Fay
• John Henkel
• Karen Jacques, LMSW-CC

• All providers in Wilton, ME
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.