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THADIUS HANNINGTON-BERUBE LCPC-C
NPI 1538749692
Counselor - Mental Health in Bangor, ME

Active since April 13, 2021PECOS Enrolled

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2022, Apr 13, 2021 (2 updates tracked since 2021).

About Thadius Hannington-berube Lcpc-c NPPES

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

THADIUS HANNINGTON-BERUBE LCPC-C (NPI 1538749692) is an individual mental health provider in Bangor, Maine, licensed in Maine (XL5454) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bangor.

NPPES Registry Identity

NPI1538749692
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHADIUS HANNINGTON-BERUBECredential: LCPC-C
Location Address77 BROADWAYBangor, ME 04401-5203
Mailing Address77 BroadwayBangor, ME 04401-5203 · (207) 956-5977
Phone(207) 956-5977
Sole ProprietorNo
Enumeration DateApril 13, 2021
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
✔ NPI 1538749692 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 · XL5454
77 BROADWAY, Bangor, ME 04401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1557 Hammond StBangor, ME 04401-4511 · Phone (207) 973-0505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thadius Hannington-berube Lcpc-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL WILLIAM MAINEN M.D.
Preventive Medicine (Occupational Medicine)
77 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 632-7376
RICHARD J MAZZEI MD PA
Orthopaedic Surgery
77 BROADWAY
BANGOR, ME 04401
Penobscot County (207) 947-2788
MR. RICHARD J MAZZEI MD
Orthopaedic Surgery
77 BROADWAY
BANGO, ME 04401
Penobscot County (207) 947-2788

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 Thadius Hannington-berube's NPI number?

The NPI number for Thadius Hannington-berube is 1538749692. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Thadius Hannington-berube located?

Thadius Hannington-berube practices at 77 Broadway, Bangor, ME 04401. The listed phone number is (207) 956-5977.

What is Thadius Hannington-berube's specialty?

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

Is Thadius Hannington-berube enrolled in Medicare?

Yes. Thadius Hannington-berube is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thadius Hannington-berube was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.