Individual provider Active NPI

Gregory Ryan McElvaine, LCPC-C

  • Professional Counselor
  • Bangor, ME
National Provider Identifier
1861909905
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
XL4984 Issued in ME
Practice address
557 Hammond St
Bangor, ME 04401-4511
Phone
(207) 973-0505
NPI assigned
Jan 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X XL4984 ME Primary

Addresses

Primary practice location

557 Hammond St
Bangor, ME 04401-4511

Mailing address

557 Hammond St
Bangor, ME 04401-4511
Phone (207) 973-0505

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240202002749 ME Practitioner - Mental Health Counselor 7618310913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Acadia Healthcare IncGroup PAC ID 8729019633, 3 clinicians

Practice addresses (Care Compare)

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XL4984MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Acadia Hospital Corp CurrentSince Jan 1, 2024 Accepting new patients
Acadia Healthcare, Inc CurrentSince Dec 1, 2024 Accepting new patients
Pine Tree Urgent Care LLC PastSince Aug 25, 2025 Accepting new patients
Dirigo Counseling Clinic, LLC Professional PastSince Apr 1, 2016 Accepting new patients

Locations

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1861909905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 HAMMOND ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014511",
            "telephone_number": "207-973-0505",
            "fax_number": "207-992-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 HAMMOND ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044014511",
            "telephone_number": "207-973-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELVAINE",
        "first_name": "GREGORY",
        "middle_name": "RYAN",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL4984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.