Individual provider Active NPI

Patricia Ann Ledoux, LCPC

  • Professional Counselor
  • Kennebunk, ME
National Provider Identifier
1700423837
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC6299 Issued in ME
Practice address
1 High St Ste 7
Kennebunk, ME 04043-7148
Phone
(207) 352-0433
NPI assigned
Dec 9, 2019
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 CC6299 ME Primary

Addresses

Primary practice location

1 High St Ste 7
Kennebunk, ME 04043-7148

Mailing address

PO Box 2258
Biddeford, ME 04005-8258
Phone (207) 352-0433

Other practice location 1

275 Main St Ste 204
Biddeford, ME 04005-2432
Phone (207) 352-0433

Other identifiers 1

IdentifierTypeStateIssuer
1700423837MedicaidME

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
I20240124002151 ME Practitioner - Mental Health Counselor 5092168229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC6299MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tricia Ledoux Counseling LLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

275 Main St
Ste 204
Biddeford, ME 04005
Phone (207) 283-8900

1 High St
Ste 7
Kennebunk, ME 04043
Phone (207) 352-0433

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1700423837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2258",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040058258",
            "telephone_number": "207-352-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HIGH ST STE 7",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437148",
            "telephone_number": "207-352-0433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Main St Ste 204",
            "address_purpose": "LOCATION",
            "city": "Biddeford",
            "state": "ME",
            "postal_code": "040052432",
            "country_code": "US",
            "telephone_number": "207-352-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDOUX",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC6299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700423837",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.