Active NPI
Scott Reoch, LCPC-C
- Mental Health Counselor
- Portland, ME
National Provider Identifier
1578918082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- XL4696
- Practice address
- 23 Ocean Ave
Portland, ME 04103-5740 - Phone
- (207) 749-8546
- NPI assigned
- May 3, 2016
- Sex
- Male
- 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 | XL4696 | ME | Primary |
Addresses
Primary practice location
23 Ocean Ave
Portland, ME 04103-5740
Mailing address
23 Ocean Ave
Portland, ME 04103-5740
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL4696 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1578918082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 OCEAN AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041035740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 OCEAN AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041035740",
"telephone_number": "207-749-8546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REOCH",
"first_name": "SCOTT",
"credential": "LCPC-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-03",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "XL4696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.