Active NPI
Lyda M Brewer, LCPC
- Professional Counselor
- Biddeford, ME
National Provider Identifier
1669922050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC5332
- Practice address
- 9 Healthcare Dr
Biddeford, ME 04005-9449 - Phone
- (207) 294-8357
- NPI assigned
- Oct 10, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL4789 | ME | |
| Professional Counselor | 101YP2500X | CC5332 | ME | Primary |
Addresses
Primary practice location
9 Healthcare Dr
Biddeford, ME 04005-9449
Mailing address
288 Brackett St Apt 1
Portland, ME 04102-3200
Phone (402) 415-9454
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 |
|---|---|---|---|
| CC5332 | ME | MD | Professional Counselor |
| XL4789 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1669922050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 BRACKETT ST APT 1",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023200",
"telephone_number": "402-415-9454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HEALTHCARE DR",
"city": "BIDDEFORD",
"state": "ME",
"postal_code": "040059449",
"telephone_number": "207-294-8357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "LYDA",
"middle_name": "M",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-10",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL4789",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC5332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Biddeford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.