Tracy Stephen Comeau, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC3089 Issued in ME

Practice address

1273 Maine St
Poland, ME 04274-7328

Phone

(207) 754-2233

NPI assigned

May 15, 2007

Last updated

Jan 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Community Health and Counseling Services

  • Community Based Hospice Care Agency
  • Bangor, ME
  • NPI 1508921842
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1407062367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 201",
            "city": "POLAND",
            "state": "ME",
            "postal_code": "042740201",
            "telephone_number": "207-754-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 MAINE ST",
            "city": "POLAND",
            "state": "ME",
            "postal_code": "042747328",
            "telephone_number": "207-754-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMEAU",
        "first_name": "TRACY",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC3089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417100099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Mark Allen, DO
• Jessie Boda, RN
• Rachel Campbell
• Krysta Ellen Clark
• Kristen Greer Cobb, OTR/L
• Community Clinical Services, Inc. (CCS Behavioral at Poland)
• Christopher John Connor, FNP-C
• Marissa Dodge, LADC, CCS
• Ann Dorian
• Rhonda Ronee Edwards, LPN,ADMIN,INSTRUCTOR

• Professional Counselor in Poland, ME
• Providers in Poland, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.