Shea Michael Shattuck-Faegre, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC7724 Issued in ME

Practice address

PO Box 130
Wiscasset, ME 04578-0130

Phone

(207) 299-0022

NPI assigned

Jul 25, 2021

Last updated

Aug 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Health Affiliates Maine, LLC

  • Community/Behavioral Health Agency
  • Auburn, ME
  • NPI 1932413556
  Medicare reassignment NPD

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1720751969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045780130",
            "telephone_number": "207-299-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045780130",
            "telephone_number": "207-299-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Townsend Ave",
            "address_purpose": "LOCATION",
            "city": "Boothbay Harbor",
            "state": "ME",
            "postal_code": "045381839",
            "country_code": "US",
            "telephone_number": "207-633-1540",
            "fax_number": "207-810-4970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "272 Gardiner Rd",
            "address_purpose": "LOCATION",
            "city": "Wiscasset",
            "state": "ME",
            "postal_code": "045784201",
            "country_code": "US",
            "telephone_number": "207-633-1934",
            "fax_number": "207-810-4970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Miles Center Way",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434067",
            "country_code": "US",
            "telephone_number": "207-563-4250",
            "fax_number": "207-810-4977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHATTUCK-FAEGRE",
        "first_name": "SHEA",
        "middle_name": "MICHAEL",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-25",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC7724",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC7724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah H Robey, PA
• Destany Paige Rodriguez
• Nichole T Schell, LMSW-CC
• Rhonda C Selvin, FNP
• Maryanne Seredynski, LCPC-C
• Kimberly A Slade Brier, D.C.
• Cheryl Thayer
• The Pain Management Center of Midcoast Maine
• Laurie A Thompson, RDH
• Regina D Thompson, LCSW

• Professional Counselor in Wiscasset, ME
• Providers in Wiscasset, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.