Linda Mae Nicholas, LCPC/LADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC1748 Issued in ME

Practice address

11 Back Rd
Pleasant Point, ME 04667-4119

Phone

(207) 853-0644

Fax

(207) 853-2347

NPI assigned

Mar 24, 2009

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Passamaquoddy Tribal Council

  dba Pleasant Point Health Center

  • Federally Qualified Health Center (FQHC)
  • Pleasant Point, ME
  • NPI 1760474613
  NPD (past)

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1912149873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "PERRY",
            "state": "ME",
            "postal_code": "046670351",
            "telephone_number": "207-853-0644",
            "fax_number": "207-853-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 BACK RD",
            "city": "PLEASANT POINT",
            "state": "ME",
            "postal_code": "046674119",
            "telephone_number": "207-853-0644",
            "fax_number": "207-853-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "LINDA",
        "middle_name": "MAE",
        "credential": "LCPC/LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC3080",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia L Lewey, CNA
• Carsten Mackeldey
• Kathleen Alfreda Majka, R.D., L.D
• Tiffany M Martinez, PMHNP
• Susan C Neptune
• Passamaquoddy Tribal Council (Pleasant Point Health Center)
• Passamaquoddy Tribal Council (Pleasant Point Health Center)
• Pleasant Point Passamaquoddy School Committee
• Alahna M Roach

• Professional Counselor in Pleasant Point, ME
• Providers in Pleasant Point, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.