Community Concepts Incorporated
Organization Active NPI Community/Behavioral Health Agency · Rumford, ME
NPI 1962591230 · NPPES record last updated Nov 5, 2024
Key facts
- NPI
- 1962591230
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COMMUNITY CONCEPTS INCORPORATED
- Practice address
- 150 Congress St
Rumford, ME 04276-2035 - Phone
- (207) 364-3549
- Fax
- (207) 364-2143
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Jessica Leblanc
- Title
- Director of Behavioral Health
- Phone
- (207) 240-7701
Corporate family (same tax ID) 11
Practitioners 26
-
Jessica Goff, LCSW
-
Jacalyn A Lingley, LCSW
-
Hillary A W McAllister, LMSW-CC
-
Leora L Johnson, LCSW, CADC
-
Glenn Robert Gordon, LADC, MHRT-CSP
-
Siobhan M. Moore, LCSW
-
Emily A. O'Donnell, LCSW-CC
-
Katelyn Osgood, LMSWCC
-
Amy Bernhard, LCSW
-
Marylena Chaisson, LCPC
-
Jennifer Jordan, LCSW, LICSW
-
Sarah Renee Lane, CADC
-
Jessica L Leblanc, LMSW-CC
-
Kirk Francis Little, LCSW
-
Tonia Lyn Mason, CADC
-
Julie Ann Peterson, LCSW
-
Jenni M Smith, LCPC-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250108000569 | ME | Part B Supplier - Clinic/Group Practice | 7113455957 |
Receives reassigned benefits from 6 practitioners Practice locations: Lewiston, ME; Rumford, ME; South Paris, ME |
National Provider Directory
- Tax ID family
- Community Concepts Inc
Locations
39 Main St
Norway, ME 04268
Phone (207) 739-7001
57 Lowell St
Rumford, ME 04276
Phone (207) 364-3549
150 Congress St
Rumford, ME 04276
Phone (207) 364-3549
17 Market Sq
South Paris, ME 04281
Phone (207) 743-7716
17 Gary St
South Paris, ME 04281
Phone (207) 418-4101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
150 Congress St
Rumford, ME 04276-2035
Mailing address
150 Congress St
Rumford, ME 04276-2035
Phone (207) 364-3549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN5 | Other | ME | ANTHEM HEALTHCARE ID |
| 123320000 | Medicaid | ME |
Other providers in Rumford, ME
- Joan Berta Casey
- Marylena Chaisson
- Lisa Susan Chenevert
- Kim S Cocca
- Jerrold Cohen
- Community Concepts, Inc.
- Community Dental
- Samantha Lynn Cormier
- Said George Daoud
- Ellen Cheney Davis
All providers in Rumford, ME · Community/Behavioral Health Agency in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.