Loretta Morse Leighton, LCPC

Key facts

NPI

1376692897

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

CC3127 (ME)

Practice address

72 Front St Ste 9
Bath, ME 04530-2657

Phone

(207) 751-5893

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 3, 2021.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1376692897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "WOOLWICH",
            "state": "ME",
            "postal_code": "045790007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 FRONT ST STE 9",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045302657",
            "telephone_number": "207-751-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIGHTON",
        "first_name": "LORETTA",
        "middle_name": "MORSE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC3127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432015899",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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