Thadius Hannington-Berube, LCPC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

XL5454 Issued in ME

Practice address

77 Broadway
Bangor, ME 04401-5203

Phone

(207) 956-5977

NPI assigned

Apr 13, 2021

Last updated

Aug 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dirigo Counseling Clinic, LLC

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1295734085
  NPD
• Pine Tree Urgent Care LLC

  • Urgent Care Clinic/Center
  • Bangor, ME
  • NPI 1679450969
  NPD
• Stonycreek Psychotherapy and Wellness LLC

  • Professional Counselor
  • Portland, ME
  • NPI 1922612936
  NPD

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1538749692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015203",
            "telephone_number": "207-956-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015203",
            "telephone_number": "207-956-5977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 Hammond St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044014511",
            "country_code": "US",
            "telephone_number": "207-973-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNINGTON-BERUBE",
        "first_name": "THADIUS",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-13",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL5454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah L Hanlon, LMSW-CC
• Ehab N Hanna, MD
• Hannaford Bros Co LLC (Hannaford Supermarket & Pharmacy)
• Hannaford Bros Co LLC (Hannaford Food and Drug)
• Amelia Grace Hanning
• Meghan L Hannington, LSW-C
• Andrew Hanscom, RPH
• Shelli Hanscom, LCSW
• Brittany Hanson, LCPC-C
• Chloe White Hanson, FNP-BC

• Mental Health Counselor in Bangor, ME
• Providers in Bangor, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.