NPIMap

Organization Active NPI

Dirigo Counseling Clinic, LLC

  • Community/Behavioral Health Agency
  • Bangor, ME
National Provider Identifier
1295734085
Registry record updated Oct 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
527039 Issued in ME
Legal business name
DIRIGO COUNSELING CLINIC, LLC
Practice address
557 Hammond St
Bangor, ME 04401-4511
Phone
(207) 973-0505
Fax
(207) 942-2175
NPI assigned
Jul 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2016

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

Authorized official

Name
Alan Algee, LCPC, CCS, SAPNPI 1942209739
Title
Executive Director
Phone
(207) 973-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 600402 ME
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 527039 ME
Community/Behavioral Health Agency 251S00000X 527039 ME Primary

Addresses

Primary practice location

557 Hammond St
Bangor, ME 04401-4511

Mailing address

557 Hammond St
Bangor
Bangor, ME 04401-4511
Phone (207) 973-0505

Other identifiers 1

IdentifierTypeStateIssuer
432471100MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140619000334 ME Part B Supplier - Clinic/Group Practice 3375767023 Receives reassigned benefits from 5 practitioners
Practice locations: Bangor, ME

National Provider Directory

National Provider Directory

Locations

97 Allen St
Ste Css
Bangor, ME 04401

557 Hammond St
Bangor, ME 04401
Phone (207) 239-9757

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477180800000",
    "number": "1295734085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 HAMMOND ST",
            "address_2": "BANGOR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014511",
            "telephone_number": "207-973-0505",
            "fax_number": "207-942-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 HAMMOND ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014511",
            "telephone_number": "207-973-0505",
            "fax_number": "207-942-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRIGO COUNSELING CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2016-10-23",
        "status": "A",
        "authorized_official_last_name": "ALGEE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-973-0505",
        "authorized_official_credential": "LCPC, CCS, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "600402",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "527039",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "527039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432471100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.