Active NPI
Parker N Blaney Jr., LCPC
- Professional Counselor
- York, ME
National Provider Identifier
1992203301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC6586
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CC6586 | ME | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Pathology Inc | Current | Accepting new patients | |
| Blaney LCPC, LLC | Professional | Current | Accepting new patients |
| York Hospital | Current | 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.
-
- Clinical Medical Laboratory
- Exeter, NH
- NPI 1154651230
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.