Judy Gagnon Counseling Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JUDY GAGNON COUNSELING SERVICES LLC

Practice address

469 Main St Ste 308
Springvale, ME 04083-1872

Phone

(207) 698-0475

Fax

(207) 850-1063

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judy Gagnon, MSW, LCSWNPI 1700450459

Title

Owner

Phone

(207) 698-0475

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judy Gagnon, MSW, LCSW

  • Clinical Social Worker
  • Springvale, ME
  • NPI 1700450459
  Medicare reassignment NPD Authorized official
• Susan M Soverel, LCSW

  • Clinical Social Worker
  • Springvale, ME
  • NPI 1154620482
  NPD (past)

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1417719931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MERCHANTS ROW",
            "city": "LEBANON",
            "state": "ME",
            "postal_code": "040274305",
            "telephone_number": "207-698-0475",
            "fax_number": "207-850-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MAIN ST STE 308",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831872",
            "telephone_number": "207-698-0475",
            "fax_number": "207-850-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY GAGNON COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-698-0475",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Anne Hufnagel, LCSW
• Nicole Marie Hutzler, LMSW-CC
• Victoria Amanda Hynes, LCSW
• Kathleen Ingellis
• Kayla Rose Interlande, FNP-BC
• Just for Women Gynecology , PA
• Giorgea Kalampalikis
• Laurie Keene, LMSW-CC
• Gabrielle Kempton, CADC
• John Joseph Kiernan

• Mental Health Clinic/Center (Including Community Mental Health Center) in Springvale, ME
• Providers in Springvale, ME by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.