Individual provider Active NPI

Parker N Blaney Jr., LCPC

  • Professional Counselor
  • York, ME
National Provider Identifier
1992203301
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC6586 Issued in ME
Practice address
16 Hospital Dr
York, ME 03909-1011
Phone
(207) 351-2118
Fax
(207) 351-2189
NPI assigned
Jan 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC6586 ME Primary

Addresses

Primary practice location

16 Hospital Dr
York, ME 03909-1011

Mailing address

686 Ossipee Hill Rd
Waterboro, ME 04087-3481
Phone (207) 337-0828

Other practice location 1

686 Ossipee Hill Rd
Waterboro, ME 04087-3481
Phone (207) 337-0828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424002321 ME Practitioner - Mental Health Counselor 8123468121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

686 Ossipee Hill Rd
Waterboro, ME 04087-3481
Phone (207) 337-0828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC6586MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Seacoast Pathology Inc Current Accepting new patients
Blaney LCPC, LLC Professional CurrentSince Feb 13, 2024 Accepting new patients
York Hospital CurrentSince Jun 21, 2024 Accepting new patients

Locations

16 Hospital Dr
York, ME 03909
Phone (207) 351-3455

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1992203301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 OSSIPEE HILL RD",
            "city": "WATERBORO",
            "state": "ME",
            "postal_code": "040873481",
            "telephone_number": "207-337-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091011",
            "telephone_number": "207-351-2118",
            "fax_number": "207-351-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "686 Ossipee Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Waterboro",
            "state": "ME",
            "postal_code": "040873481",
            "country_code": "US",
            "telephone_number": "207-337-0828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANEY",
        "first_name": "PARKER",
        "middle_name": "N",
        "name_suffix": "Jr.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-31",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC6586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

Verify at the official NPI Registry.