Midcoast Counseling Group, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIDCOAST COUNSELING GROUP, PLLC

Practice address

6 Federal St
Office C
Brunswick, ME 04011

Phone

(207) 716-5440

Fax

(207) 618-7408

NPI assigned

Sep 9, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Lauren Shepard Brooks Hample, LCSW

Title

Founder & Therapist

Phone

(207) 716-5440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1891464194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MAINE ST.",
            "address_2": "SUITE A BOX 246",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "207-716-5440",
            "fax_number": "207-618-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FEDERAL ST",
            "address_2": "OFFICE C",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "207-716-5440",
            "fax_number": "207-618-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDCOAST COUNSELING GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "HAMPLE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "SHEPARD BROOKS",
        "authorized_official_title_or_position": "FOUNDER & THERAPIST",
        "authorized_official_telephone_number": "207-716-5440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Midcoast Chiropractic LLC
• Midcoast Dental Health LLC
• Midcoast Eye Associates (Midcoast Optical Services)
• Midcoast Integrative Healthcare (Jennifer Lakis, D.O.)
• Midcoast Pediatrics
• Nancy R Miers, LCPC-C

• Mental Health Counselor in Brunswick, ME
• Providers in Brunswick, 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 Sep 9, 2021; 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.