Individual provider Active NPI

Laurie A Farley, LCPC-C

  • Professional Counselor
  • Presque Isle, ME
National Provider Identifier
1588944722
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
XL3852 Issued in ME
Practice address
147 Academy St
Presque Isle, ME 04769-3101
Phone
(207) 764-6825
Fax
(207) 764-6077
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X XL3852 ME Primary

Addresses

Primary practice location

147 Academy St
Presque Isle, ME 04769-3101

Mailing address

147 Academy St
PO Box 509
Presque Isle, ME 04769-3101
Phone (207) 764-6825

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
I20240110000240 ME Practitioner - Mental Health Counselor 7810347267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Waters Edge Therapy IncGroup PAC ID 9133526510, 2 clinicians

Practice addresses (Care Compare)

325 D Kennedy Memorial Dr
Waterville, ME 04901-4530
Phone (207) 616-0499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XL3852MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Waters Edge Therapy, Inc CurrentSince Jan 1, 2024 Accepting new patients
Life by Design, PA PastSince Nov 1, 2007 Accepting new patients
Life by Design Past Accepting new patients

Locations

325D Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 616-0499

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313712000000",
    "number": "1588944722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 ACADEMY ST",
            "address_2": "PO BOX 509",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693101",
            "telephone_number": "207-764-6825",
            "fax_number": "207-764-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693101",
            "telephone_number": "207-764-6825",
            "fax_number": "207-764-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "LAURIE",
        "middle_name": "A",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL3852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Presque Isle, ME

Sources for this page

Verify at the official NPI Registry.