Royce A. Foreman, LCPC
Individual provider Active NPI Professional Counselor · Saco, ME
NPI 1912966904 · NPPES record last updated Jun 22, 2016
Key facts
- NPI
- 1912966904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- CC2026 (ME)
- Practice address
- 31 Beach St
Saco, ME 04072-2810 - Phone
- (207) 282-1500
- Fax
- (207) 282-6606
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC2026 | ME | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Maine Behavioral Healthcare | Past | Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
78 Atlantic Pl
South Portland, ME 04106
Phone (207) 661-6654
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC2026 | ME | Yes |
Addresses
Primary practice location
31 Beach St
Saco, ME 04072-2810
Mailing address
78 Atlantic PL
South Portland, ME 04106-2316
Phone (207) 661-6654
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320550099 | Medicaid | ME |
Other providers in Saco, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.