Individual provider Active NPI

Thomas Charles Lusth, LCPC-C

  • Counselor
  • Wiscasset, ME
National Provider Identifier
1457794687
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
XL4071 Issued in ME
Practice address
343 Birch Point Rd
Wiscasset, ME 04578-4900
Phone
(207) 882-6594
Fax
(207) 687-2233
NPI assigned
Apr 8, 2013
Last updated
Apr 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X XL4071 ME Primary

Addresses

Primary practice location

343 Birch Point Rd
Wiscasset, ME 04578-4900

Mailing address

343 Birch Point Rd
Wiscasset, ME 04578-4900
Phone (207) 882-6594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
XL4071MEMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Break of Day Mental Health Group Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1457794687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 BIRCH POINT RD",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784900",
            "telephone_number": "207-882-6594",
            "fax_number": "207-687-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 BIRCH POINT RD",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784900",
            "telephone_number": "207-882-6594",
            "fax_number": "207-687-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTH",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "XL4071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wiscasset, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.