Individual provider Active NPI

Elizabeth Marie Bell-Jalbert, LCPC

  • Professional Counselor
  • Presque Isle, ME
National Provider Identifier
1316450083
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC5666 Issued in ME
Practice address
147 Academy St
Presque Isle, ME 04769-3101
Phone
(207) 764-6825
Fax
(207) 764-6077
NPI assigned
Nov 15, 2017
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X XL4943 ME
Professional Counselor 101YP2500X CC5666 ME Primary

Addresses

Primary practice location

147 Academy St
Presque Isle, ME 04769-3101

Mailing address

147 Academy St
Presque Isle, ME 04769-3101
Phone (207) 764-6825

Other practice location 1

31 Market St
Fort Kent, ME 04743-1418
Phone (207) 834-5430

Other practice location 2

18 High St
Houlton, ME 04730-2013
Phone (207) 532-9660

Other identifiers 1

IdentifierTypeStateIssuer
1316450083MedicaidME

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
I20240129003516 ME Practitioner - Mental Health Counselor 5395198030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SweetserGroup PAC ID 8325946213, 138 clinicians

Practice addresses (Care Compare)

329 Bath Rd
Brunswick, ME 04011-2673
Phone (207) 373-3177

50 Moody St
Saco, ME 04072-1536
Phone (800) 434-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XL4943MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetser CurrentSince Sep 16, 2024 Accepting new patients
Acadia Hospital Corp CurrentSince Jan 1, 2024 Accepting new patients
Life by Design, PA CurrentSince Feb 1, 2004 Accepting new patients
Carlos G. Otis Health Care Center Inc. Past Accepting new patients
Life by Design PastSince Feb 13, 2022 Accepting new patients

Locations

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012

27 Birdseye Ave
Caribou, ME 04736
Phone (207) 492-1653

31 Market St
Fort Kent, ME 04743
Phone (207) 436-7027

18 High St
Houlton, ME 04730
Phone (207) 532-9660

147 Academy St
Presque Isle, ME 04769
Phone (207) 532-9660

50 Moody St
Saco, ME 04072
Phone (207) 284-5981

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1316450083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693101",
            "telephone_number": "207-764-6825",
            "fax_number": "207-764-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693101",
            "telephone_number": "207-764-6825",
            "fax_number": "207-764-6077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Market St",
            "address_purpose": "LOCATION",
            "city": "Fort Kent",
            "state": "ME",
            "postal_code": "047431418",
            "country_code": "US",
            "telephone_number": "207-834-5430",
            "fax_number": "207-834-2332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 High St",
            "address_purpose": "LOCATION",
            "city": "Houlton",
            "state": "ME",
            "postal_code": "047302013",
            "country_code": "US",
            "telephone_number": "207-532-9660",
            "fax_number": "207-532-9640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELL-JALBERT",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL4943",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC5666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316450083",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.