Rebecca Reid Brainerd, LCPC
Individual provider Active NPI Professional Counselor · Gray, ME
NPI 1194207449 · NPPES record last updated Sep 4, 2018
Key facts
- NPI
- 1194207449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CC4525 (ME)
- Practice address
- 16 Verrill Rd
Gray, ME 04039-9596 - Phone
- (207) 415-3631
- NPI assigned
- Sep 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4525 | ME | MD | Mental Health Counselor |
| CC4525 | ME | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C4525 | ME | |
| Professional Counselor | 101YP2500X | CC4525 | ME | Yes |
Addresses
Primary practice location
16 Verrill Rd
Gray, ME 04039-9596
Mailing address
16 Verrill Rd
Gray, ME 04039-9596
Phone (207) 415-3631
Other names
- Ms. Rebecca Ashley Reid
Other providers in Gray, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.