NPIMap

Organization Active NPI

Tri-County Mental Health Services

  • Mental Health Counselor
  • Lewiston, ME
National Provider Identifier
1215979158
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
230341 Issued in ME
Legal business name
TRI-COUNTY MENTAL HEALTH SERVICES
Practice address
1155 Lisbon Street
Lewiston, ME 04241
Phone
(207) 755-0036
Fax
(207) 783-4679
NPI assigned
Jun 12, 2006
Last updated
Jul 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Authorized official

Name
Catherine R Ryder, LCPC, ACS
Title
Executive Director
Phone
(207) 783-9141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 230341 ME Primary

Addresses

Primary practice location

1155 Lisbon Street
Lewiston, ME 04241

Mailing address

1155 Lisbon St
PO Box 2008
Lewiston, ME 04241
Phone (207) 755-0036

Other identifiers 2

IdentifierTypeStateIssuer
105550200MedicaidME
000067OtherLAANTHEM

National Provider Directory

National Provider Directory

Locations

144 High St
Ste 1
Farmington, ME 04938
Phone (207) 477-8355

484 Main St
Lewiston, ME 04240
Phone (207) 783-4680

Practitioners & affiliated clinicians

Practitioners 127

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 127

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1215979158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 LISBON ST",
            "address_2": "PO BOX 2008",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04241",
            "telephone_number": "207-755-0036",
            "fax_number": "207-783-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 LISBON STREET",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04241",
            "telephone_number": "207-755-0036",
            "fax_number": "207-783-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "RYDER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-783-9141",
        "authorized_official_credential": "LCPC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "230341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105550200",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000067",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.