John David Mlcuch, LCPC, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CC7411 Issued in ME

Practice address

306 Rodman Rd
Auburn, ME 04210-3830

Phone

(207) 333-3278

NPI assigned

Feb 28, 2022

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dirigo Counseling Clinic, LLC

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1295734085
  NPD (past)
• Pine Tree Urgent Care LLC

  • Urgent Care Clinic/Center
  • Bangor, ME
  • NPI 1679450969
  NPD (past)

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1760138739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042111150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 RODMAN RD",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103830",
            "telephone_number": "207-333-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLCUCH",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "LCPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-28",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "CC7411",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "LMHC10004628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleo Miller, MOTR/L
• Michelle Robin Miller, RN
• Tiomthy Miller, LMSW-CC
• Kathleen Ann Mitchell, LMSW-CC
• Matthew Parent Mitchell, PA
• Saad Mohammad, DO
• Mary Anne O. Moisan
• Donielle F Montague
• Sherry Monteith, LCPC-C
• Wayne A. Moody, M.D.

• Counselor in Auburn, ME
• Providers in Auburn, ME by specialty
• Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.