Roy E Siegfriedt, LCPC
Individual provider Active NPI Professional Counselor · Randolph, ME
NPI 1457549834 · NPPES record last updated Oct 10, 2007
Key facts
- NPI
- 1457549834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CC686 (ME)
- Practice address
- 9 Hillcrest Ave
Randolph, ME 04346-5131 - Phone
- (207) 582-4218
- Fax
- (207) 582-4360
- NPI assigned
- Oct 10, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC686 | ME | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Past |
Accepting new patients | |
| Spurwink Services Incorporated | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC686 | ME | Yes |
Addresses
Primary practice location
9 Hillcrest Ave
Randolph, ME 04346-5131
Mailing address
899 Riverside St
Portland, ME 04103-1070
Phone (207) 871-1200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098312 | Other | ME | ANTHEM |
Other providers in Randolph, ME
- Carla Jane Mowatt
- Rebecca Donaldson Patkus
- Jennifer L Pelletier
- Paula J Rowe
- Bonny Lee Saxon
- Jaynelle Rae Smith
- Where Healing Begins PLLC
- Melissa Marie Winchester
- Lori Beth Wood
All providers in Randolph, ME · Professional Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.