Alfred L Brodeur, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC2135 Issued in ME

Practice address

81 Main St Box 16
Suite 102
Auburn, ME 04210-5883

Phone

(207) 777-1078

NPI assigned

Nov 7, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Possibilities Counseling Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Auburn, ME
  • NPI 1235209750
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760463871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SIXTH ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106804",
            "telephone_number": "207-784-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 MAIN ST BOX 16",
            "address_2": "SUITE 102",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105883",
            "telephone_number": "207-777-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODEUR",
        "first_name": "ALFRED",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC2135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "461514000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "017270",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Brewer, HIS
• Kate Bridgham
• Alayna Rebecca Briggs
• Mary E Britt, ATC
• Eileen Faye Broberg, OT
• Martha Elizabeth Brodeur, PT
• Kenneth E Brodsky, DO
• Colby Brooks
• Anne JC Brown, MD
• David G. Brown, M.D.

• Mental Health Counselor in Auburn, ME
• Providers in Auburn, 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.