Active NPIIndividual provider

Lisa T Groo, LCPC, CADC, MHRT-CSP

Counselor in Ellsworth, Maine

NPI Number1356688790
Practice location
406 State St Ste 2, Ellsworth, ME 04605-3331
Fax
207-412-0806
Last updated
February 2, 2021

Lisa Tobey Groo is a Counselor based in Ellsworth, ME. Lisa Tobey Groo practices in Ellsworth, ME and has the professional credentials of LCPC, CADC, MHRT-CSP. The NPI Number for Lisa Tobey Groo is 1356688790 and holds a License No. CAC6747 (ME). The current practice location address for Lisa Tobey Groo is 406 State St Ste 2, Ellsworth, ME 04605-3331 and can be reached out via phone at 207-412-0973 and via fax at 207-412-0806.

Provider Profile Details

NPI Number
1356688790
Provider Name
Lisa Tobey Groo
Credential
LCPC, CADC, MHRT-CSP
Provider Entity Type
Individual
Gender
Female
Address
406 State St Ste 2, Ellsworth, ME 04605-3331
Phone Number
207-412-0973
Fax Number
207-412-0806
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
January 4, 2013
Last Update Date
February 2, 2021
Certification Date
February 2, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
406 State St Ste 2
Ellsworth, ME 04605-3331
State
Maine
Zip
04605-3331
Phone Number
207-412-0973
Fax Number
207-412-0806
Ellsworth, ME 04605Get directions →

Provider Business Mailing Address Details

Address
180 Academy St Ste 3
Presque Isle, ME 04769-3183
City
Presque Isle
State
ME
Zip
04769-3183
Phone Number
207-554-2352
Fax Number
207-554-2351

License Information

License Number (1)
CAC6747
License State (1)
ME
Taxonomy (1)
Counselor · 101Y00000X
License Number (2)
CC4620
License State (2)
ME
Taxonomy (2)
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa T Groo, LCPC, CADC, MHRT-CSP?

The NPI number of Lisa T Groo, LCPC, CADC, MHRT-CSP is 1356688790. It was assigned on January 4, 2013 and is currently active in the NPPES registry.

What is the specialty of Lisa T Groo, LCPC, CADC, MHRT-CSP?

Lisa T Groo, LCPC, CADC, MHRT-CSP is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in ME under license number CAC6747.

Where does Lisa T Groo, LCPC, CADC, MHRT-CSP practice?

The practice location is 406 State St Ste 2, Ellsworth, ME 04605-3331. The office can be reached at 207-412-0973 (phone) or 207-412-0806 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356688790 directly on the NPPES registry website.

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