Individual provider Active NPI

Brian M Meldrum, LCPC

  • Professional Counselor
  • Brunswick, ME
National Provider Identifier
1487716098
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC769 Issued in ME
Practice address
6 Cumberland St
Brunswick, ME 04011-2161
Phone
(207) 754-0629
NPI assigned
Dec 14, 2006
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC769 ME Primary
School Psychologist 103TS0200X PE549 ME

Addresses

Primary practice location

6 Cumberland St
Brunswick, ME 04011-2161

Mailing address

13 Stone St
Brunswick, ME 04011-1515
Phone (207) 754-0629

Other practice location 1

466 Main St
Lewiston, ME 04240-6748
Phone (207) 754-0629

Other identifiers 2

IdentifierTypeStateIssuer
213290000MedicaidME
047378OtherMEANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117001643 ME Practitioner - Mental Health Counselor 3375072473 Practice locations: Brunswick, ME

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC769MEMDProfessional Counselor
PE549MEMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Partnership for Trauma Recovery Professional 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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1487716098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 STONE ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040111515",
            "telephone_number": "207-754-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CUMBERLAND ST",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112161",
            "telephone_number": "207-754-0629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "466 Main St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042406748",
            "country_code": "US",
            "telephone_number": "207-754-0629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELDRUM",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC769",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "ME",
            "license": "PE549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213290000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "047378",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.