Grace Elaina Ward, LCPC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

XL7545 Issued in ME

Practice address

510 Main St # 18
Gorham, ME 04038-1339

Phone

(207) 239-6406

NPI assigned

Jul 19, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Grace Elaina Ward Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1104664432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 MAIN ST # 18",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339",
            "telephone_number": "207-239-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MAIN ST # 18",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381339",
            "telephone_number": "207-239-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "GRACE",
        "middle_name": "ELAINA",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL7545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "WARD",
            "middle_name": "ELAINA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Village Square Housing Corporation
• Vop Gorham LLC
• Walgreen Eastern Co Inc
• Rebecca I Walker, L.M.T.
• Katelyn Walsh
• Susan L Ward
• Alicia Warner, MS, OT/L
• Kimberly Ann Wells, FNP
• Martin Francis Wesolowski, D.O.
• White Elm Dermatology, PLLC

• All providers in Gorham, ME
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.