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WALLACE J FRASER JR. LCPC
NPI 1578790499
Counselor - Mental Health in Hampden, ME

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
27 WILBUR DR, HAMPDEN, ME 04444(207) 735-7136(207) 433-1462 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2023, Nov 6, 2023, Feb 6, 2023 and 6 more (9 updates tracked since 2018).

About Wallace J Fraser Jr. Lcpc NPPES

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

WALLACE J FRASER JR. LCPC (NPI 1578790499) is an individual mental health provider in Hampden, Maine, licensed in Maine (CC3848) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1578790499
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameWALLACE J FRASER JR.Credential: LCPC
Location Address27 WILBUR DRHampden, ME 04444-1420
Mailing Address27 Wilbur DrHampden, ME 04444-1420 · (207) 735-7136 · Fax (207) 614-7141
Phone(207) 735-7136
Fax(207) 433-1462
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJune 18, 2009
Last NPPES UpdateDecember 14, 20239 updates tracked since enumeration
NPPES CertifiedDecember 14, 2023
✔ NPI 1578790499 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 · CC3848
27 WILBUR DR, Hampden, ME 04444
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Wallace J Fraser Jr. 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 ID9830533116
PECOS Enrollment IDI20240214002333
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

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

FRASER CLINICAL CONSULTATION SERVICES
Community/Behavioral Health
27 WILBUR DR
HAMPDEN, ME 04444
Penobscot County (207) 735-7136

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 Wallace Fraser's NPI number?

The NPI number for Wallace Fraser is 1578790499. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Wallace Fraser located?

Wallace Fraser practices at 27 Wilbur Dr, Hampden, ME 04444. The listed phone number is (207) 735-7136.

What is Wallace Fraser's specialty?

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

Is Wallace Fraser enrolled in Medicare?

Yes. Wallace Fraser 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.

What insurance does Wallace Fraser accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Wallace Fraser 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 Wallace Fraser was last updated on December 14, 2023. 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.