| 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 | 7113455957 |
|---|---|
| Medicare Enrollment ID | O20250108000569 |
| 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 | Jacalyn A Lingley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558654962 PECOS PAC ID: 6103088588 Enrollment ID: I20120501000346 |
| 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 | Hillary A W Mcallister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245779644 PECOS PAC ID: 5092143792 Enrollment ID: I20200311001708 |
| 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 | 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 |