Individual provider Active NPI

Megan Elizabeth Smith, LCPC

  • Professional Counselor
  • Bangor, ME
National Provider Identifier
1285772467
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
XL2650 Issued in ME
Practice address
444 Stillwater Ave Ste 104
Bangor, ME 04401-3500
Phone
(207) 951-6493
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 XL2650 ME Primary

Addresses

Primary practice location

444 Stillwater Ave Ste 104
Bangor, ME 04401-3500

Mailing address

56 Hughes Blvd
Hampden, ME 04444-1046
Phone (207) 299-7729

Other practice location 1

56 Hughes Blvd
Hampden, ME 04444-1046
Phone (207) 299-7729

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
I20240717002738 ME Practitioner - Mental Health Counselor 2062957707 Practice locations: Bangor, ME

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

444 Stillwater Ave
Suite 104
Bangor, ME 04401-3500
Phone (207) 951-6493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XL2650MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Megan Elizabeth Smith CurrentSince Oct 27, 2024 Accepting new patients
Care Development of Maine Past Accepting new patients
Cline Chiropractic Center LLC PastSince Oct 27, 2024 Accepting new patients

Locations

444 Stillwater Ave
Ste 104
Bangor, ME 04401
Phone (207) 951-4758

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1285772467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 HUGHES BLVD",
            "city": "HAMPDEN",
            "state": "ME",
            "postal_code": "044441046",
            "telephone_number": "207-299-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 STILLWATER AVE STE 104",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013500",
            "telephone_number": "207-951-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56 Hughes Blvd",
            "address_purpose": "LOCATION",
            "city": "Hampden",
            "state": "ME",
            "postal_code": "044441046",
            "country_code": "US",
            "telephone_number": "207-299-7729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL2650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.