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SHASTA MINERY LCSW
NPI 1740001353
Counselor - Mental Health in Dover Foxcroft, ME

Active since October 17, 2024PECOS Enrolled
1048 SOUTH ST, DOVER FOXCROFT, ME 04426(207) 564-3000(207) 422-7339 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shasta Minery Lcsw NPPES

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

SHASTA MINERY LCSW (NPI 1740001353) is an individual mental health provider in Dover Foxcroft, Maine, licensed in Maine (LC22698) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tenants Harbor, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1740001353
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHASTA MINERYCredential: LCSW
Location Address1048 SOUTH STDover Foxcroft, ME 04426-1232
Mailing AddressPo Box 405Tenants Harbor, ME 04860-0405 · (207) 975-3929
Phone(207) 564-3000
Fax(207) 422-7339
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 17, 2024
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1740001353 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 · LC22698
1048 SOUTH ST, Dover Foxcroft, ME 04426
Open in Google Maps ↗

Secondary Practice Location 1

Location 1PO Box 405Tenants Harbor, ME 04860-0405 · Phone (207) 975-3929

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shasta Minery Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931616067
PECOS Enrollment IDI20250724002256
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 12

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

AMY DAHLBERG LCSW-C
Social Worker (Clinical)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
WELLNESS CENTER OF MAINE
Social Worker (Clinical)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
CHRISTINA INGEMI LCPC-C
Counselor (Mental Health)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
STACEY DURAN LCSW-C
Social Worker (Clinical)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
JODI L CUMMINGS MCGARY LCSW
Social Worker (Clinical)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
JASON MILLS
Counselor (Mental Health)
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-3000
DR. LESLEY MONTGOMERY FERNOW MD
Internal Medicine
1048 SOUTH ST
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-7131
DR. DAVID P FRASZ MD
Ophthalmology
1048 SOUTH ST, SUITE 300
DOVER FOXCROFT, ME 04426
Piscataquis County (207) 564-8441

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 Shasta Minery's NPI number?

The NPI number for Shasta Minery is 1740001353. It was assigned to this individual provider in the NPPES registry on October 17, 2024.

Where is Shasta Minery located?

Shasta Minery practices at 1048 South St, Dover Foxcroft, ME 04426. The listed phone number is (207) 564-3000.

What is Shasta Minery's specialty?

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

Is Shasta Minery enrolled in Medicare?

Yes. Shasta Minery is registered in the Medicare PECOS enrollment system.

What insurance does Shasta Minery accept?

Health plans from Anthem Blue Cross and Blue Shield list Shasta Minery 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 Shasta Minery was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.