Individual provider Active NPI

Eugene McLaughlin III, LADC, CCS

  • Counselor
  • Old Orchard Beach, ME
National Provider Identifier
1205500493
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC8236 Issued in ME
Practice address
28 Portland Ave
Old Orchard Beach, ME 04064-2212
Phone
(207) 934-5231
NPI assigned
Aug 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC8236 ME Primary

Addresses

Primary practice location

28 Portland Ave
Old Orchard Beach, ME 04064-2212

Mailing address

28 Portland Ave
Old Orchard Beach, ME 04064-2212
Phone (207) 934-5231

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

LicenseStateTypeSpecialty
LC8236MEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aroostook Mental Health Services, Inc. Counselor PastSince Aug 1, 2021 Accepting new patients
Milestone Foundation Inc PastSince Dec 3, 2023 Accepting new patients
Milestone Recovery PastSince Dec 3, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1205500493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PORTLAND AVE",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040642212",
            "telephone_number": "207-934-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 PORTLAND AVE",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "040642212",
            "telephone_number": "207-934-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "EUGENE",
        "name_suffix": "III",
        "credential": "LADC, CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "LC8236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Orchard Beach, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.