Individual provider Active NPI

Rachel Angela Morici-Leirer, M.A., LPC, LCPC

  • Professional Counselor
  • Poland, ME
National Provider Identifier
1801057435
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC6222 Issued in ME
Practice address
47 Tripp Lake Camp Rd
Poland, ME 04274-7505
Phone
(303) 856-4414
NPI assigned
Jun 17, 2008
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5739 CO
Professional Counselor 101YP2500X CC6222 ME Primary

Addresses

Primary practice location

47 Tripp Lake Camp Rd
Poland, ME 04274-7505

Mailing address

47 Tripp Lake Camp Rd
Poland, ME 04274-7505
Phone (303) 856-4414

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL address

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
5739COMDMental Health Counselor
CC6222MEMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1801057435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 TRIPP LAKE CAMP RD",
            "city": "POLAND",
            "state": "ME",
            "postal_code": "042747505",
            "telephone_number": "303-856-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 TRIPP LAKE CAMP RD",
            "city": "POLAND",
            "state": "ME",
            "postal_code": "042747505",
            "telephone_number": "303-856-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORICI-LEIRER",
        "first_name": "RACHEL",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "5739",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC6222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "address",
            "affiliation": "N",
            "address_1": "47 Tripp Lake Camp Rd",
            "city": "Poland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042747505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.