Individual provider Active NPI

Lauryn Marie Bissonnette, LCPC

  • Professional Counselor
  • South Portland, ME
National Provider Identifier
1225814817
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC8477 Issued in ME
Practice address
707 Sable Oaks Dr Ste 230
South Portland, ME 04106-6954
Phone
(866) 903-8428
Fax
(207) 422-7268
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC8477 ME Primary

Addresses

Primary practice location

707 Sable Oaks Dr Ste 230
South Portland, ME 04106-6954

Mailing address

707 Sable Oaks Dr Ste 230
South Portland, ME 04106-6954
Phone (866) 903-8428

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260421002707 ME Practitioner - Mental Health Counselor 0446726962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC8477MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center of Nashua Inc Professional CurrentSince May 15, 2026 Accepting new patients

Locations

707 Sable Oaks Dr
Ste 230
South Portland, ME 04106
Phone (207) 774-8700

Organizations & group practices 1

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1225814817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 SABLE OAKS DR STE 230",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066954",
            "telephone_number": "866-903-8428",
            "fax_number": "207-422-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 SABLE OAKS DR STE 230",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066954",
            "telephone_number": "866-903-8428",
            "fax_number": "207-422-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSONNETTE",
        "first_name": "LAURYN",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC8477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

Verify at the official NPI Registry.