Organization Active NPI

Community Concepts Incorporated

  • Community/Behavioral Health Agency
  • Rumford, ME
National Provider Identifier
1962591230
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 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
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Jessica LeblancNPI 1497121529
Title
Director of Behavioral Health
Phone
(207) 240-7701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

150 Congress St
Rumford, ME 04276-2035

Mailing address

150 Congress St
Rumford, ME 04276-2035
Phone (207) 364-3549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Tax ID family
Community Concepts Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

57 Lowell St
Rumford, ME 04276
Phone (207) 364-3549

17 Gary St
South Paris, ME 04281
Phone (207) 418-4101

17 Market Sq
South Paris, ME 04281
Phone (207) 743-7716

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1962591230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CONGRESS ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762035",
            "telephone_number": "207-364-3549",
            "fax_number": "207-364-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CONGRESS ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762035",
            "telephone_number": "207-364-3549",
            "fax_number": "207-364-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONCEPTS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "207-240-7701"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rumford, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.