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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHEA MICHAEL SHATTUCK-FAEGRE LCPC
NPI 1720751969
Counselor - Professional in Wiscasset, ME

Active since July 25, 2021PECOS Enrolled
PO BOX 130, WISCASSET, ME 04578(207) 299-0022 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, Jan 7, 2026, Aug 16, 2021 and 1 more (4 updates tracked since 2021).

About Shea Michael Shattuck-faegre Lcpc NPPES

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

SHEA MICHAEL SHATTUCK-FAEGRE LCPC (NPI 1720751969) is an individual professional provider in Wiscasset, Maine, licensed in Maine (CC7724) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1720751969
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHEA MICHAEL SHATTUCK-FAEGRECredential: LCPC
Location AddressPO BOX 130Wiscasset, ME 04578-0130
Mailing AddressPo Box 130Wiscasset, ME 04578-0130 · (207) 299-0022
Phone(207) 299-0022
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 25, 2021
Last NPPES UpdateAugust 19, 20264 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1720751969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ME · CC7724
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CC7724 (ME)
PO BOX 130, Wiscasset, ME 04578
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1236 Townsend AveBoothbay Harbor, ME 04538-1839 · Phone (207) 633-1540 · Fax (207) 810-4970
Location 224 Miles Center WayDamariscotta, ME 04543-4067 · Phone (207) 563-4250 · Fax (207) 810-4977
Location 3272 Gardiner RdWiscasset, ME 04578-4201 · Phone (207) 633-1934 · Fax (207) 810-4970

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shea Michael Shattuck-faegre Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335625870
PECOS Enrollment IDI20260114002597
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.

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 Shea Shattuck-faegre's NPI number?

The NPI number for Shea Shattuck-faegre is 1720751969. It was assigned to this individual provider in the NPPES registry on July 25, 2021.

Where is Shea Shattuck-faegre located?

Shea Shattuck-faegre practices at PO Box 130, Wiscasset, ME 04578. The listed phone number is (207) 299-0022.

What is Shea Shattuck-faegre's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Shea Shattuck-faegre enrolled in Medicare?

Yes. Shea Shattuck-faegre is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shea Shattuck-faegre was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.