Pamela Jean Gagnon Da Silva, MS, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC4988 Issued in ME

Practice address

198 Main St
Ellsworth, ME 04605-1941

Phone

(207) 479-0553

NPI assigned

Aug 25, 2017

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

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Behavioral Healthcare LLCGroup PAC ID 7214097740, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Cornerstone Behavioral Healthcare, LLC

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1215102850
  Medicare reassignment Care Compare group NPD
• Resilient Women, LLC

  • Professional Counselor
  • Ellsworth, ME
  • NPI 1447026059
  Medicare reassignment NPD Authorized official
• Next Step Domestic Violence Project

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ellsworth, ME
  • NPI 1073037099
  NPD (past)

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1821515339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046050271",
            "telephone_number": "207-479-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 MAIN ST",
            "city": "ELLSWORTH",
            "state": "ME",
            "postal_code": "046051941",
            "telephone_number": "207-479-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON DA SILVA",
        "first_name": "PAMELA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MS, LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC4988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Pierson Optician LLC
• John T Frankland Jr., M.D.
• Danica Frederick, OTR/L
• Lauren Fysh, MS, OTR/L
• Andrea Gabel-Richards, LCSW
• Katie Elizabeth Garnett, MT
• Jan M Gee, LCSW
• Jane E Gerlach, CNM MS
• Ghanem Dental PLLC
• Jody (None) Gillen-Worden, LCSW

• Mental Health Counselor in Ellsworth, ME
• Providers in Ellsworth, 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 Dec 27, 2022; 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.