Active NPI
Lindsey J Wold, MA
- Mental Health Counselor
- Bangor, ME
National Provider Identifier
1508328352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 21 Main St Ste 301
Bangor, ME 04401-6359 - Phone
- (314) 518-7967
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
21 Main St Ste 301
Bangor, ME 04401-6359
Mailing address
510 Deer Tracks TRL
Saint Peters, MO 63376-5908
Phone (314) 518-7967
Other practice location 1
510 Deer Tracks Trl
Saint Peters, MO 63376-5908
Phone (314) 518-7967
Other names 1
- Lindsey J McIntyre
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amygdala Co | Current | Accepting new patients | |
| Amygdala Co | Current | Accepting new patients | |
| Juneau Amalgam Center | Mental Health | Current | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Belleville, IL
- NPI 1477171528
-
- Adolescent and Children Mental Health Clinic/Center
- Belleville, IL
- NPI 1841944980
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1508328352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 DEER TRACKS TRL",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633765908",
"telephone_number": "314-518-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MAIN ST STE 301",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016359",
"telephone_number": "314-518-7967"
}
],
"practiceLocations": [
{
"address_1": "510 Deer Tracks Trl",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633765908",
"country_code": "US",
"telephone_number": "314-518-7967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLD",
"first_name": "LINDSEY",
"middle_name": "J",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "MCINTYRE",
"middle_name": "J",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.