Organization Active NPI

Two Lights Counseling, LLC

  • Clinical Social Worker
  • Auburn, ME
National Provider Identifier
1902687213
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TWO LIGHTS COUNSELING, LLC
Practice address
243 Mount Auburn Ave Ste 2B
Auburn, ME 04210-8522
Phone
(207) 710-0408
NPI assigned
Oct 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Timothy Bates, LCSWNPI 1508429747
Title
Owner
Phone
(207) 710-0408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

243 Mount Auburn Ave Ste 2B
Auburn, ME 04210-8522

Mailing address

243 Mount Auburn Ave Ste 2B
Auburn, ME 04210-8522
Phone (207) 710-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240117003671 ME Part B Supplier - Clinic/Group Practice 5193177921 Receives reassigned benefits from 1 practitioner
Practice locations: Auburn, ME

National Provider Directory

National Provider Directory

Locations

243 Mount Auburn Ave
Ste 2B
Auburn, ME 04210
Phone (207) 710-0408

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1902687213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 MOUNT AUBURN AVE STE 2B",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108522",
            "telephone_number": "207-710-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 MOUNT AUBURN AVE STE 2B",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108522",
            "telephone_number": "207-710-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO LIGHTS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-710-0408",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.