| Tri-county Mental Health Services | |
|
1155 Lisbon Street Lewiston ME 04241 | |
| (207) 755-0036 | |
| (207) 783-4679 |
| Full Name | Tri-county Mental Health Services |
|---|---|
| Speciality | Counselor |
| Location | 1155 Lisbon Street, Lewiston, Maine |
| Authorized Official Name and Position | Catherine R Ryder (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2077839141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Mental Health Services 1155 Lisbon St Po Box 2008 Lewiston ME 04241 Ph: (207) 755-0036 | Tri-county Mental Health Services 1155 Lisbon Street Lewiston ME 04241 Ph: (207) 755-0036 |
| NPI Number | 1215979158 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 07/01/2014 |
| Medicare PECOS PAC ID | 6103800131 |
|---|---|
| Medicare Enrollment ID | O20040707000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215979158 | NPI | - | NPPES |
| 000067 | Other | LA | ANTHEM |
| 105550200 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 230341 (Maine) | Primary |
| Provider Name | Barbara A Granville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558452615 PECOS PAC ID: 0345219093 Enrollment ID: I20040929000415 |
| Provider Name | Michelle H Bolen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154330975 PECOS PAC ID: 6204871536 Enrollment ID: I20050627000850 |
| Provider Name | Beth L Stinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972516300 PECOS PAC ID: 0547205809 Enrollment ID: I20050627001064 |
| Provider Name | Susan Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275700965 PECOS PAC ID: 5496825671 Enrollment ID: I20080530000084 |
| Provider Name | Henry C Skinner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619949526 PECOS PAC ID: 3072798248 Enrollment ID: I20110503000710 |
| Provider Name | Theresa A Mccartney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811203185 PECOS PAC ID: 2163642976 Enrollment ID: I20140930000353 |
| Provider Name | Carol S Despres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366715856 PECOS PAC ID: 5597052399 Enrollment ID: I20160922000342 |
| Provider Name | Daniel L Stromgren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841500352 PECOS PAC ID: 4385923580 Enrollment ID: I20161110001494 |
| Provider Name | Paul J Vinsel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447283858 PECOS PAC ID: 7012964232 Enrollment ID: I20170330002085 |
| Provider Name | Rebecca Bunoski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316209992 PECOS PAC ID: 1557527736 Enrollment ID: I20170406000798 |
| Provider Name | Ryan Pelton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831528348 PECOS PAC ID: 0244516755 Enrollment ID: I20170418001856 |
| Provider Name | Ryan K Cole |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801272463 PECOS PAC ID: 6507126299 Enrollment ID: I20180126001210 |
| Provider Name | Kathryn Elizabeth Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396110243 PECOS PAC ID: 3375806979 Enrollment ID: I20180412002179 |
| Provider Name | Kristen M Gingrich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295193811 PECOS PAC ID: 8022362706 Enrollment ID: I20181115001392 |
| Provider Name | Victoria Lillios St Hilaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689199861 PECOS PAC ID: 0345587036 Enrollment ID: I20190204002419 |
| Provider Name | Thomas Peter Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699275511 PECOS PAC ID: 9537592308 Enrollment ID: I20191209002234 |
| Provider Name | Katherine Thomson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275006017 PECOS PAC ID: 0446681134 Enrollment ID: I20200513001500 |
| Provider Name | Sarah E Walcott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639657893 PECOS PAC ID: 3375964745 Enrollment ID: I20200611000502 |
| Provider Name | Nora Mcelroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346731791 PECOS PAC ID: 5991115354 Enrollment ID: I20201113001799 |
| Provider Name | Derick Reece |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306209044 PECOS PAC ID: 7517378433 Enrollment ID: I20201125002236 |
| Provider Name | Michelle Larrivee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366849978 PECOS PAC ID: 4587076815 Enrollment ID: I20201210001304 |
| Provider Name | Lynn Bodensteiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073759734 PECOS PAC ID: 6507049137 Enrollment ID: I20210910000932 |
| Provider Name | Alexandre V Lavoie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841760386 PECOS PAC ID: 3971981069 Enrollment ID: I20220601002391 |
| Provider Name | Kathleen Ingellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306583182 PECOS PAC ID: 8325422231 Enrollment ID: I20220826000168 |
| Provider Name | Mary Beth Walters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285119511 PECOS PAC ID: 9638554538 Enrollment ID: I20220913002465 |
| Provider Name | Sarah Lee Tessier-roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598488835 PECOS PAC ID: 5092183335 Enrollment ID: I20221117002873 |
| Provider Name | Jessica Lachance |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154955532 PECOS PAC ID: 0345615076 Enrollment ID: I20230412000605 |
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