Individual provider Active NPI

Matthew Steinback, MLADC, LADC, CCS

  • Addiction (Substance Use Disorder) Counselor
  • Gorham, ME
National Provider Identifier
1962791210
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LC5193 Issued in ME
Practice address
341 Main St
Gorham, ME 04038-1309
Phone
(207) 222-0181
Fax
(207) 222-0157
NPI assigned
Apr 6, 2011
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-23750 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X LC5193 ME Primary

Addresses

Primary practice location

341 Main St
Gorham, ME 04038-1309

Mailing address

20 Dewayns Way
Gorham, ME 04038-2098
Phone (828) 230-5997

Other practice location 1

2300 Congress St
Portland, ME 04102-1908
Phone (207) 221-2292 ext. 1445

Other practice location 2

17 Mallison Falls Rd
Windham, ME 04062-4101
Phone (207) 517-5013

Other practice location 3

18 Mollison Way
Lewiston, ME 04240-5811
Phone (207) 312-6860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC5193MEMDAddiction (Substance Use Disorder) Counselor
LCAS-23750NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians PC PastSince Aug 1, 2019 Accepting new patients
Merrimack River Medical Services, Inc. PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1962791210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DEWAYNS WAY",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382098",
            "telephone_number": "828-230-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MAIN ST",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381309",
            "telephone_number": "207-222-0181",
            "fax_number": "207-222-0157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Congress St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041021908",
            "country_code": "US",
            "telephone_number": "207-221-2292 x1445",
            "fax_number": "201-221-2297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Mallison Falls Rd",
            "address_purpose": "LOCATION",
            "city": "Windham",
            "state": "ME",
            "postal_code": "040624101",
            "country_code": "US",
            "telephone_number": "207-517-5013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Mollison Way",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042405811",
            "country_code": "US",
            "telephone_number": "207-312-6860",
            "fax_number": "207-312-6863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEINBACK",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MLADC, LADC, CCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23750",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC5193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.