Alicia Anne McConkey, LMSW-CC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MC23651 Issued in ME

Practice address

1010 Stillwater Ave
Bangor, ME 04401-2616

Phone

(207) 990-1666

Fax

(207) 990-1688

NPI assigned

Jul 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1194563197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 GRIFFIN RD APT 1",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012852",
            "telephone_number": "207-991-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044012616",
            "telephone_number": "207-990-1666",
            "fax_number": "207-990-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONKEY",
        "first_name": "ALICIA",
        "middle_name": "ANNE",
        "credential": "LMSW-CC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC23651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meryl McCarthy, PNP
• Tara Lee McCarthy, PHARMD
• Theresa McCartney
• Rachel McClay, RN
• Kaylee Elizabeth McClure, CADC
• James B McCormack, LCPC
• Sarah Jean McCracken, LMSW-CC
• Tammy McCue, CADC
• James Lachlan McDonald, PH.D.
• Erica A McDougal, LMSW-CC

• Mental Health Counselor in Bangor, ME
• Providers in Bangor, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.