Mary Alexander Monck, MA, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LC6119 Issued in ME

Practice address

52 Pleasant Hill Dr
Waterville, ME 04901-4105

Phone

(207) 350-5673

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1457482986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 PLEASANT HILL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014105",
            "telephone_number": "207-350-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 PLEASANT HILL DR",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049014105",
            "telephone_number": "207-350-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCK",
        "first_name": "MARY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Ms.",
        "credential": "MA, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000351",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC6119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Eileen Mills, AGACNP-BC
• Paul L Minot, MD
• Kristy Mitsui, CPNP-PC
• Sara Modlin-Tucker, DO
• Cody W Moller
• George Frank Moody, LMSW-CC
• Diane S Moongrove, PHD
• Jane Moore, MPH, RD, LD
• Patricia Ann Moran, LCPC
• Ann M Morgan, LCPC

• Addiction (Substance Use Disorder) Counselor in Waterville, ME
• Providers in Waterville, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.