MR. MICHAEL PAUL GINGRAS LCPC
NPI 1316470784
Counselor - Mental Health in Old Town, ME

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
136 CENTER ST, OLD TOWN, ME 04468(207) 441-7252 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Michael Paul Gingras Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL PAUL GINGRAS LCPC (NPI 1316470784) is an individual mental health provider in Old Town, Maine, licensed in Maine (CC6069) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316470784
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICHAEL PAUL GINGRASCredential: LCPC
Location Address136 CENTER STOld Town, ME 04468-1577
Mailing Address136 Center StOld Town, ME 04468-1577 · (207) 441-7252
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 4, 2017
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1316470784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ME · CC6069
136 CENTER ST, Old Town, ME 04468

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael Paul Gingras Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496107302
PECOS Enrollment IDI20240116004285
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Gingras reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
235 CENTER ST
Brewer, ME 04412
  • Reassigned Medicare billing, Maine enrollment
  • 10 clinicians in this Medicare group
Community/Behavioral Health
306 RODMAN RD
Auburn, ME 04210
  • Reassigned Medicare billing, Maine enrollment
  • 269 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Gingras's NPI number?

The NPI number for Michael Gingras is 1316470784. It was assigned to this individual provider in the NPPES registry on April 4, 2017.

Where is Michael Gingras located?

Michael Gingras practices at 136 Center St, Old Town, ME 04468. The listed phone number is (207) 441-7252.

What is Michael Gingras's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michael Gingras enrolled in Medicare?

Yes. Michael Gingras is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Gingras's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Gingras reassigns Medicare benefits to 2 organizations: Higher Ground Services LLC (Brewer, ME) and Health Affiliates Maine, LLC (Auburn, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Gingras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Gingras accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Michael Gingras as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Gingras was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.