Active NPI
Thomas Earley, LCPC
- Professional Counselor
- Canaan, ME
National Provider Identifier
1902994486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCS2849
- Practice address
- 333 Main Street
Canaan, ME 04929 - Phone
- (207) 474-6990
- Fax
- (207) 474-8899
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CC9 | ME | |
| Professional Counselor | 101YP2500X | CCS2849 | ME | Primary |
Addresses
Primary practice location
333 Main Street
Canaan, ME 04929
Mailing address
118 Moosehead TRL
Suite 5
Newport, ME 04953-4020
Phone (207) 368-4213
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC9 | ME | MD | Counselor |
| CCS2849 | ME | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sebasticook Family Doctors | Past | Accepting new patients | |
| Sebasticook Family Doctors | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Palmyra, ME
- NPI 1407719016
-
- Federally Qualified Health Center (FQHC)
- Canaan, ME
- NPI 1518293547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902994486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 MOOSEHEAD TRL",
"address_2": "SUITE 5",
"city": "NEWPORT",
"state": "ME",
"postal_code": "049534020",
"telephone_number": "207-368-4213",
"fax_number": "207-355-3033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 MAIN STREET",
"city": "CANAAN",
"state": "ME",
"postal_code": "04929",
"telephone_number": "207-474-6990",
"fax_number": "207-474-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLEY",
"first_name": "THOMAS",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "CC9",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CCS2849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canaan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.