Individual provider Active NPI

Pamela Philbrook Leary, MA, MS, LCPC-C

  • Mental Health Counselor
  • Auburn, ME
National Provider Identifier
1528359338
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
XL3768 Issued in ME
Practice address
1120 Center St
Suite 308
Auburn, ME 04210-6528
Phone
(207) 333-3375
Fax
(207) 333-3380
NPI assigned
Apr 27, 2011
Last updated
Apr 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X XL3768 ME Primary

Addresses

Primary practice location

1120 Center St
Suite 308
Auburn, ME 04210-6528

Mailing address

1120 Center St
Suite 308
Auburn, ME 04210-6528
Phone (207) 333-3375

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
I20240124000523 ME Practitioner - Mental Health Counselor 9931551124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
XL3768MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Affiliates Maine, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

306 Rodman Rd
Auburn, ME 04210
Phone (207) 333-3278

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": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1528359338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CENTER ST",
            "address_2": "SUITE 308",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106528",
            "telephone_number": "207-333-3375",
            "fax_number": "207-333-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CENTER ST",
            "address_2": "SUITE 308",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106528",
            "telephone_number": "207-333-3375",
            "fax_number": "207-333-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARY",
        "first_name": "PAMELA",
        "middle_name": "PHILBROOK",
        "name_prefix": "Mrs.",
        "credential": "MA, MS, LCPC-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL3768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

Verify at the official NPI Registry.