Active NPI
Lauren S B Hample, LCSW
- Mental Health Counselor
- Waterville, ME
National Provider Identifier
1124456066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC16780
- Practice address
- 149 North Street
3200
Waterville, ME 04901-6789 - Phone
- (207) 861-3500
- Fax
- (207) 861-6201
- NPI assigned
- Oct 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC16635 | ME | |
| Mental Health Counselor | 101YM0800X | MC16780 | ME | Primary |
Addresses
Primary practice location
149 North Street
3200
Waterville, ME 04901-6789
Mailing address
149 North Street
3200
Waterville, ME 04901-6789
Phone (207) 861-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760596480 | Medicaid | SC | |
| 1124456066 | Medicaid | ME |
Other names 1
- Lauren S Brooks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC16780 | ME | MD | Mental Health Counselor |
| LC16635 | ME | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Waterville, ME
- NPI 1477344976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1124456066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 NORTH STREET",
"address_2": "3200",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016789",
"telephone_number": "207-861-3500",
"fax_number": "207-861-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 NORTH STREET",
"address_2": "3200",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016789",
"telephone_number": "207-861-3500",
"fax_number": "207-861-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMPLE",
"first_name": "LAUREN",
"middle_name": "S B",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-30",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC16635",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "MC16780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760596480",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124456066",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "BROOKS",
"middle_name": "S",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.