Laura Mia Mantello

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC1532 Issued in ME

Practice address

259 Masalin Rd
Lincolnville, ME 04849-5538

Phone

(207) 763-4243

NPI assigned

Oct 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588752927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MASALIN RD",
            "city": "LINCOLNVILLE",
            "state": "ME",
            "postal_code": "048495538",
            "telephone_number": "207-763-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MASALIN RD",
            "city": "LINCOLNVILLE",
            "state": "ME",
            "postal_code": "048495538",
            "telephone_number": "207-763-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTELLO",
        "first_name": "LAURA",
        "middle_name": "MIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC1532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Doolen, RN IBCLC
• Kim Flewelling, SLP
• Charmaine B Jensen, D.O.
• Mark Jensen, D.O.
• Maine Dermatology, LLC
• Mark Jensen, DO, LLC
• Misuk Nelson, MASSAGE THERAPIST
• William Norfleet, MD
• Deborah Janet Peabody, M.D.
• Allison C Pollock

• Mental Health Counselor in Lincolnville, ME
• Providers in Lincolnville, 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 Jul 8, 2007; 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.