FIRST LIGHT COUNSELING SERVICES, INC (NPI# 1669653143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669653143 |
Entity Type | Organization |
Organization Name | FIRST LIGHT COUNSELING SERVICES, INC |
Practice Address |
9 Brown St Mexico ME 04257-1501 |
Practice Telephone | 2073647006 |
Practice Fax Number | 2073647007 |
Mailing Telephone | 2073647006 |
Mailing Fax Number | 2073647007 |
Enumeration Date | 2007-11-26 |
Last Update Date | 2007-11-26 |
Authorized Official Name | MR. JIM MELLO (PRESIDENT) |
Authorized Official Telephone | 2073647006 |
Authorized Official Credential | LADC/CCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 450120 | ME | Agencies |
Street Address |
9 BROWN ST |
City | MEXICO |
State | ME |
Zip Code | 04257-1501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861573602 | Victoria Louise Brown | Social Worker | 767 River Rd, Mexico, ME 04257 | 2006-10-18 |
1366408882 | Northern Oxford Regional Ambulance Service | Ambulance | 273 Main St, Mexico, ME 04257 | 2006-04-24 |
1942435243 | Elizabeth Mahar Doherty | Dental Hygienist | 131 Main St, Mexico, ME 04257-1412 | 2009-05-16 |
1508340670 | Rachel M Buck | Counselor | 89 Main St, Mexico, ME 04257-1440 | 2018-09-24 |
1609216415 | Timothy L Cormier | Specialist | 89 Main St, Mexico, ME 04257-1440 | 2013-06-26 |
1104141175 | Heidi Sue Bennett | Counselor | 89 Main St, Mexico, ME 04257-1440 | 2010-04-02 |
1477769628 | School Administrative District 43 | Local Education Agency (LEA) | 3 Recreation Dr, Mexico, ME 04257-1551 | 2007-05-15 |
1255849469 | Thomas Marshall | Specialist/Technologist | 12 Brook St, Mexico, ME 04257-1612 | 2018-01-22 |
1609029883 | Richard Gauvin | Counselor | 56 Granite St, Mexico, ME 04257-1620 | 2008-10-31 |
1477781326 | Johann Pinkerton | In Home Supportive Care | 130 Granite St, Mexico, ME 04257-1622 | 2009-06-30 |
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Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568667764 | Evergreen Behavioral Services, LLC | Community/Behavioral Health | 116 S Jefferson St, Mexico, MO 65265-2842 | 2007-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609476852 | Allied Community Services LLC | Community/Behavioral Health | 476 Sabattus St, Lewiston, ME 04240-4111 | 2020-10-27 |
1124627765 | Peace Care Services LLC | Community/Behavioral Health | 145 Lisbon St Ste 508, Lewiston, ME 04240-7241 | 2020-10-24 |
1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
1497371868 | Touchstone Support Services LLC | Community/Behavioral Health | 247 Lisbon St # 2, Lewiston, ME 04240-7704 | 2020-06-22 |
1770106916 | Rolling Hills Enterprises, Inc. | Community/Behavioral Health | 124 Canal St Ste 2, Lewiston, ME 04240-7711 | 2020-05-22 |
1871134478 | Nicole Mank, Lcsw, LLC | Community/Behavioral Health | 126 Western Ave # 1026, Augusta, ME 04330-7249 | 2019-10-04 |
1699328336 | Nancy Yombe | Community/Behavioral Health | 280 Stetson Rd, Lewiston, ME 04240-2430 | 2019-07-22 |
1942867676 | At The Helm Counseling and Case Management, LLC | Community/Behavioral Health | 64 Paris St, Norway, ME 04268-5634 | 2019-05-29 |
1629530530 | Fraser Clinical Consultation Services, LLC | Community/Behavioral Health | 96 Harlow St Ste 214, Bangor, ME 04401-4981 | 2019-04-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.