Cynthia Marie Chase, LCPC, LADC, CCS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC1723 Issued in ME

Practice address

39 Baribeau Dr
Brunswick, ME 04011-3242

Phone

(207) 522-2073

Fax

(207) 729-1803

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1194779942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WESTERN AVE",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861717",
            "telephone_number": "207-729-1803",
            "fax_number": "207-777-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113242",
            "telephone_number": "207-522-2073",
            "fax_number": "207-729-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCPC, LADC, CCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC1723",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC1491",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "048265",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Chamberlain, MD
• Susan Kathryn Chandler, PSY.D.
• Margaret Hull Chapin, ANP
• Carlton T. Charity, LCSW
• Charles M. Stewart, M.D., P.a.
• Susan Lynn Chase, NP, RN, CNS
• David Charles Chatalbash, LCSW
• Joanna Lynne Chavaree, LCSW
• Shobha Chetty, ED.S.
• Chickadee Physical Therapy LLC

• Mental Health Counselor in Brunswick, ME
• Providers in Brunswick, 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 Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.