Individual provider Active NPI

Kelsey Marie Lavallee, LCPC

  • Mental Health Counselor
  • Biddeford, ME
National Provider Identifier
1174057517
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
XL4805 Issued in ME
Practice address
443 Main St
Biddeford, ME 04005-2124
Phone
(213) 584-1606
NPI assigned
Apr 12, 2017
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X XL4805 ME Primary

Addresses

Primary practice location

443 Main St
Biddeford, ME 04005-2124

Mailing address

443 Main St
Biddeford, ME 04005-2124
Phone (213) 584-1606

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240104002919 ME Practitioner - Mental Health Counselor 1557712460 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XL4805MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelsey Lavallee Counseling Services, LLC Current Accepting new patients
York County Community Action Corp CurrentSince Jan 1, 2024 Accepting new patients
Alternative Wellness Services PastSince Dec 30, 2017 Accepting new patients

Locations

443 Main St
Biddeford, ME 04005
Phone (207) 282-7113

15 Oak St
Springvale, ME 04083
Phone (207) 490-6900

Interoperability endpoints

  • Direct secure messaging: kelsey.lavallee.p1@direct.nassonhealthcare.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1174057517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 MAIN ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052124",
            "telephone_number": "213-584-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 MAIN ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040052124",
            "telephone_number": "213-584-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEE",
        "first_name": "KELSEY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL4805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biddeford, ME

Sources for this page

Verify at the official NPI Registry.