Individual provider Active NPI

Debra J McIntyre

  • Professional Counselor
  • Bangor, ME
National Provider Identifier
1992211338
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
XL4981 Issued in ME
Practice address
157 Park Street, #5
Bangor, ME 04401
Phone
(207) 992-0410
NPI assigned
Dec 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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 XL4981 ME Primary

Addresses

Primary practice location

157 Park Street, #5
Bangor, ME 04401

Mailing address

621 Mohawk Rd
Lincoln, ME 04457-4130
Phone (207) 290-5486

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
I20240118000622 ME Practitioner - Mental Health Counselor 6305298076 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
XL4981MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Higher Ground Services LLC CurrentSince Jan 1, 2023 Accepting new patients
McKay Counseling PLLC Professional CurrentSince Jan 1, 2023 Accepting new patients
Cornerstone Behavioral Healthcare, LLC CurrentSince Aug 15, 2024 Accepting new patients
Appleton Medical Center Past Accepting new patients

Locations

157 Park St
Ste 5
Bangor, ME 04401
Phone (207) 992-0410

235 Center St
Brewer, ME 04412
Phone (207) 299-5157

222 Saint John St
Ste 113
Portland, ME 04102
Phone (207) 772-2440

Organizations & group practices 4

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": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1992211338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MOHAWK RD",
            "city": "LINCOLN",
            "state": "ME",
            "postal_code": "044574130",
            "telephone_number": "207-290-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PARK STREET, #5",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-992-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "DEBRA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL4981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.