Courtney Lee Beauregard, LPC
Individual provider Active NPI Mental Health Counselor · Bangor, ME
NPI 1922257518 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1922257518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 11 Ohio St
Bangor, ME 04401-4760 - Phone
- (508) 250-3733
- NPI assigned
- Sep 18, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
11 Ohio St
Bangor, ME 04401-4760
Mailing address
11 Ohio St
Bangor, ME 04401-4760
Phone (508) 250-3733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC010285 | Other | PA | STATE LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Philadelphia | Direct |
Other providers in Bangor, ME
- Mollie L Beaulier
- Alexi Beaulieu
- Hope Beaulieu
- Lindsay Beth Beaulieu
- Peter Beaulieu
- Donald Raymond Bebb
- Jamie Marie Beck
- Barbara JK Becker
- Nastassia Beckford-Bryan
- Erika Jeanne Beckwith
All providers in Bangor, ME · Mental Health Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.