First Light Counseling Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

450120 Issued in ME

Legal business name

FIRST LIGHT COUNSELING SERVICES, INC

Practice address

9 Brown St
Mexico, ME 04257-1501

Phone

(207) 364-7006

Fax

(207) 364-7007

NPI assigned

Nov 26, 2007

Last updated

Nov 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jim Mello, LADC/CCS

Title

President

Phone

(207) 364-7006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1669653143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BROWN ST",
            "city": "MEXICO",
            "state": "ME",
            "postal_code": "042571501",
            "telephone_number": "207-364-7006",
            "fax_number": "207-364-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BROWN ST",
            "city": "MEXICO",
            "state": "ME",
            "postal_code": "042571501",
            "telephone_number": "207-364-7006",
            "fax_number": "207-364-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST LIGHT COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "MELLO",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-364-7006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC/CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "450120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Louise Brown, LCSW
• Cassandra Chasse
• Timothy L Cormier, CADC
• Elizabeth Mahar Doherty, RDH
• Alexys Nichole Duguay, PHARMD
• Richard Gauvin
• Cheryl Dunn Hartford, LADC, LSW
• Leah K Hodsdon
• Johann Pinkerton
• Jeffrey D Johnson, DPM

• Community/Behavioral Health Agency in Mexico, ME
• Providers in Mexico, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.