Individual provider Active NPI

Erika Beaulieu, LCSW, LADC, CCS

  • Counselor
  • Skowhegan, ME
National Provider Identifier
1346998465
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC24362 Issued in ME
Practice address
30 Leavitt St
Skowhegan, ME 04976-1843
Phone
(207) 474-3244
Fax
(207) 474-5244
NPI assigned
Mar 17, 2022
Last updated
Feb 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MC21994 ME
Counselor 101Y00000X LC24362 ME Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC8619 ME
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC7293 ME

Addresses

Primary practice location

30 Leavitt St
Skowhegan, ME 04976-1843

Mailing address

78 Mount Pleasant Ave
Skowhegan, ME 04976-1622
Phone (207) 692-3114

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
I20250616000980 ME Practitioner - Clinical Social Worker 6204347495 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC24362MEMDCounselor
MC21994MEMDCounselor
CAC7293MEMDAddiction (Substance Use Disorder) Counselor
LC8619MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kennebec Valley Mental Health Center CurrentSince Apr 28, 2025 Accepting new patients
Maine Behavioral Health Organization CurrentSince Mar 20, 2022 Accepting new patients
Maine Behavioral Health Organization PastSince Mar 20, 2022 Accepting new patients

Locations

10 Caldwell Rd
Augusta, ME 04330
Phone (207) 626-3448

66 Stone St
Augusta, ME 04330
Phone (207) 626-3455

115 Mt Blue Cir
Farmington, ME 04938
Phone (207) 778-9664

30 Leavitt St
Skowhegan, ME 04976
Phone (207) 474-3244

5 Commerce Dr
Skowhegan, ME 04976
Phone (207) 474-8311

67 Eustis Pkwy
Waterville, ME 04901
Phone (207) 660-4549

736 Old Lewiston Rd
Winthrop, ME 04364
Phone 2073778122 ext. 1407

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, 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": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1346998465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MOUNT PLEASANT AVE",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761622",
            "telephone_number": "207-692-3114",
            "fax_number": "207-474-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LEAVITT ST",
            "city": "SKOWHEGAN",
            "state": "ME",
            "postal_code": "049761843",
            "telephone_number": "207-474-3244",
            "fax_number": "207-474-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "ERIKA",
        "credential": "LCSW, LADC, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "MC21994",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "LC24362",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC8619",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC7293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skowhegan, ME

Sources for this page

Verify at the official NPI Registry.