| Community Concepts Incorporated | |
|
150 Congress St Rumford ME 04276-2035 | |
| (207) 364-3549 | |
| (207) 364-2143 |
| Full Name | Community Concepts Incorporated |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 150 Congress St, Rumford, Maine |
| Authorized Official Name and Position | Jessica Leblanc (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 2072407701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Concepts Incorporated 150 Congress St Rumford ME 04276-2035 Ph: (207) 364-3549 | Community Concepts Incorporated 150 Congress St Rumford ME 04276-2035 Ph: (207) 364-3549 |
| NPI Number | 1962591230 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 11/05/2024 |
| Certification Date | 11/05/2024 |
| Medicare PECOS PAC ID | 1254486525 |
|---|---|
| Medicare Enrollment ID | O20100104000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962591230 | NPI | - | NPPES |
| RN5 | Other | ME | ANTHEM HEALTHCARE ID |
| 123320000 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Juliana Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689647521 PECOS PAC ID: 0042207706 Enrollment ID: I20040427000058 |
| Provider Name | Marianne Harlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831330646 PECOS PAC ID: 4880638204 Enrollment ID: I20050616000630 |
| Provider Name | Peter M Mirkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578794467 PECOS PAC ID: 3173554177 Enrollment ID: I20050830000424 |
| Provider Name | Stephanie Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568522340 PECOS PAC ID: 7810915055 Enrollment ID: I20051107000687 |
| Provider Name | Tammy Ann Dignan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144470949 PECOS PAC ID: 4981899473 Enrollment ID: I20101110000326 |
| Provider Name | Jacalyn A Lingley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558654962 PECOS PAC ID: 6103088588 Enrollment ID: I20120501000346 |
| Provider Name | Elizabeth Klose Hartford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992011563 PECOS PAC ID: 9931365350 Enrollment ID: I20120730000186 |
| Provider Name | Richard Greene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295024495 PECOS PAC ID: 8123265063 Enrollment ID: I20130513000352 |
| Provider Name | Stacey M Labonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831506872 PECOS PAC ID: 4284854621 Enrollment ID: I20141007000066 |
| Provider Name | Amy L Gabrielski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285965921 PECOS PAC ID: 6406173871 Enrollment ID: I20150324000072 |
| Provider Name | Julia J Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013341502 PECOS PAC ID: 2466702519 Enrollment ID: I20180911001462 |
| Provider Name | Taylor Bolden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306395017 PECOS PAC ID: 1456691765 Enrollment ID: I20190325001253 |
| Provider Name | Daniel J Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942747571 PECOS PAC ID: 9638408719 Enrollment ID: I20190916001674 |
| Provider Name | Hillary A W Mcallister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245779644 PECOS PAC ID: 5092143792 Enrollment ID: I20200311001708 |
| Provider Name | Bridget Laroche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912137480 PECOS PAC ID: 7214358522 Enrollment ID: I20200521002702 |
| Provider Name | Jessica Ann Goff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770937211 PECOS PAC ID: 0345661716 Enrollment ID: I20200611000597 |
| Provider Name | Tia Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982252672 PECOS PAC ID: 1153798897 Enrollment ID: I20221109000727 |
| Provider Name | Christine Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386292746 PECOS PAC ID: 7416328240 Enrollment ID: I20230113001646 |
| Provider Name | Ashlee R Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780131946 PECOS PAC ID: 9234595687 Enrollment ID: I20230510001367 |
| Provider Name | Rachel M Buck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508340670 PECOS PAC ID: 8224483599 Enrollment ID: I20231006002518 |
| Provider Name | Crystal Morgan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215536289 PECOS PAC ID: 2668817321 Enrollment ID: I20240304002836 |
| Provider Name | Rachel F Mcdermott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760978142 PECOS PAC ID: 0749626976 Enrollment ID: I20240311002720 |
| Provider Name | Leora L Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174391668 PECOS PAC ID: 7315384831 Enrollment ID: I20240509000328 |
River Valley Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Canal St., Rumford, ME 04276 Phone: 207-364-1610 Fax: 207-364-1611 |