Active NPI
Nina R Mollicone, LCPC-C
- Professional Counselor
- Rumford, ME
National Provider Identifier
1184792806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL2189
- Practice address
- 49 Congress St
Rumford, ME 04276-2014 - Phone
- (207) 364-7981
- NPI assigned
- Dec 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL2189 | ME | Primary |
Addresses
Primary practice location
49 Congress St
Rumford, ME 04276-2014
Mailing address
83 Grandview Rd
Bethel, ME 04217-5538
Phone (207) 824-2736
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
| License | State | Type | Specialty |
|---|---|---|---|
| XL2189 | ME | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Past | Accepting new patients | |
| Tri-County Mental Health Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Portland, ME
- NPI 1760507297
-
- Mental Health Counselor
- Lewiston, ME
- NPI 1215979158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184792806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 GRANDVIEW RD",
"city": "BETHEL",
"state": "ME",
"postal_code": "042175538",
"telephone_number": "207-824-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 CONGRESS ST",
"city": "RUMFORD",
"state": "ME",
"postal_code": "042762014",
"telephone_number": "207-364-7981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLICONE",
"first_name": "NINA",
"middle_name": "R",
"credential": "LCPC-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL2189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rumford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.