Organization Active NPI

Outlook CCS, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Saco, ME
National Provider Identifier
1093238461
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
LC4689 Issued in ME
Legal business name
OUTLOOK CCS, LLC
Practice address
74 Beach St
Saco, ME 04072-2812
Phone
(207) 590-2728
Fax
(207) 835-4670
NPI assigned
Jul 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Authorized official

Name
Karen Lemoine, LCSWNPI 1245751395
Title
President
Phone
(207) 590-2728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X LC4689 ME Primary

Addresses

Primary practice location

74 Beach St
Saco, ME 04072-2812

Mailing address

25 Ocean Greens Dr
Saco, ME 04072-2166
Phone (207) 590-2728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171030001330 ME Part B Supplier - Clinic/Group Practice 4587930904 Receives reassigned benefits from 1 practitioner
Practice locations: Saco, ME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1093238461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OCEAN GREENS DR",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722166",
            "telephone_number": "207-590-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BEACH ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722812",
            "telephone_number": "207-590-2728",
            "fax_number": "207-835-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTLOOK CCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "LEMOINE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-590-2728",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "ME",
            "license": "LC4689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.