Individual provider Active NPI

Gail M Donovan, LADC

  • Counselor
  • Caribou, ME
National Provider Identifier
1124527569
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC8175 Issued in ME
Practice address
128 Sweden St Ste 2
Caribou, ME 04736-2071
Phone
(207) 492-1454
Fax
(207) 492-1455
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Counselor 101Y00000X LC8175 ME Primary

Addresses

Primary practice location

128 Sweden St Ste 2
Caribou, ME 04736-2071

Mailing address

180 Academy St Ste 3
Presque Isle, ME 04769-3183
Phone (207) 554-2352

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC8175MEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aroostook Mental Health Services, Inc. Counselor CurrentSince Nov 12, 1999 Accepting new patients

Locations

43 Hatch Dr
Ste 310
Caribou, ME 04736
Phone (207) 493-3361

180 Academy St
Ste 3
Presque Isle, ME 04769
Phone (207) 554-2352

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.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1124527569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ACADEMY ST STE 3",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693183",
            "telephone_number": "207-554-2352",
            "fax_number": "207-554-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 SWEDEN ST STE 2",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362071",
            "telephone_number": "207-492-1454",
            "fax_number": "207-492-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "GAIL",
        "middle_name": "M",
        "credential": "LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "LC8175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.