Active NPI
Laren Corrin
- Mental Health Counselor
- Portland, ME
National Provider Identifier
1053988428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- XL6264
- Practice address
- 615 Congress St # 601M
Portland, ME 04101-3343 - Phone
- (207) 771-5641
- NPI assigned
- Jun 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | XL6264 | ME | Primary |
Addresses
Primary practice location
615 Congress St # 601M
Portland, ME 04101-3343
Mailing address
615 Congress St # 601-M
Portland, ME 04101-3343
Phone (207) 771-5641
Other practice location 1
142 High St # 601M
Portland, ME 04101-3093
Phone (207) 771-5641
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241204003966 | ME | Practitioner - Mental Health Counselor | 4587190285 | Practice locations: Portland, ME |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
615 Congress St
601M
Portland, ME 04101-5361
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL6264 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1053988428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 CONGRESS ST # 601-M",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013343",
"telephone_number": "207-771-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 CONGRESS ST # 601M",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013343",
"telephone_number": "207-771-5641"
}
],
"practiceLocations": [
{
"address_1": "142 High St # 601M",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041013093",
"country_code": "US",
"telephone_number": "207-771-5641",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORRIN",
"first_name": "LAREN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-04",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "XL6264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.