Christanna Harlow Libby, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC2973 Issued in ME

Practice address

40 Summer St
2ND Floor
Bangor, ME 04401-7144

Phone

(207) 299-1138

Fax

(207) 990-3660

NPI assigned

Jul 26, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1720002553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SUMMER ST",
            "address_2": "2ND FLOOR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044017144",
            "telephone_number": "207-299-1138",
            "fax_number": "207-990-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SUMMER ST",
            "address_2": "2ND FLOOR",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044017144",
            "telephone_number": "207-299-1138",
            "fax_number": "207-990-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "CHRISTANNA",
        "middle_name": "HARLOW",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC2973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "73688869",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "100454",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431613899",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terri L. Lewis, LCSW
• Carolyn Lex, M.D.
• Yasmani Leyva Echevarria, CRNA
• Fang Li
• Rung-CHI Li, D.O., PH.D.
• Glynnis R Libby, LSW
• Melissa Lynn Libby, CNM
• Macario F. Lichauco, MD
• Life Lessons Psychiatric Services, SC
• Lifeflight of Maine, LLC

• Mental Health Counselor in Bangor, ME
• Providers in Bangor, 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 May 29, 2015; 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.