Individual provider Active NPI

Linda R McCord, LCSW

  • Mental Health Counselor
  • Houlton, ME
National Provider Identifier
1528283124
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC11098 Issued in ME
Practice address
144 Military St., Box 2
Houlton, ME 04730-0000
Phone
(207) 532-9906
Fax
(207) 521-0900
NPI assigned
Apr 17, 2007
Last updated
Feb 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC9941 ME
Mental Health Counselor 101YM0800X LC11098 ME Primary

Addresses

Primary practice location

144 Military St., Box 2
Houlton, ME 04730-0000

Mailing address

144 Military St # 2
Houlton, ME 04730-2508
Phone (207) 532-9906

Other identifiers 1

IdentifierTypeStateIssuer
424610099MedicaidME

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
I20070918000426 ME Practitioner - Clinical Social Worker 9335233667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houlton Band of Maliseet IndiansGroup PAC ID 9436112752, 6 clinicians

Practice addresses (Care Compare)

3 Clover Cir
Houlton, ME 04730-3424
Phone (207) 532-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC9941MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Houlton Band of Maliseet Indians CurrentSince Aug 21, 2013 Accepting new patients
Sweetser CurrentSince Nov 27, 2023 Accepting new patients
Life by Design, PA PastSince Feb 1, 2004 Accepting new patients

Locations

329 Bath Rd
Brunswick, ME 04011
Phone (207) 373-3012

3 Clover Cir
Littleton, ME 04730
Phone (207) 532-2240

50 Moody St
Saco, ME 04072
Phone (207) 284-5981

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, 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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1528283124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MILITARY ST # 2",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302508",
            "telephone_number": "207-532-9906",
            "fax_number": "207-521-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MILITARY ST., BOX 2",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047300000",
            "telephone_number": "207-532-9906",
            "fax_number": "207-521-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "LINDA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC9941",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC11098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424610099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houlton, ME

Sources for this page

Verify at the official NPI Registry.