Active NPIIndividual providerSole proprietor

Shea M Shattuck-Faegre, LCPC

Counselor, Professional in Wiscasset, Maine

NPI Number1720751969
Practice location
Po Box 130, Wiscasset, ME 04578-0130
Fax
—
Last updated
August 19, 2026

Shea Michael Shattuck-Faegre is a Counselor, Professional based in Wiscasset, ME. Shea Michael Shattuck-Faegre practices in Wiscasset, ME and has the professional credentials of LCPC. The NPI Number for Shea Michael Shattuck-Faegre is 1720751969 and holds a License No. CC7724 (ME). The current practice location address for Shea Michael Shattuck-Faegre is Po Box 130, Wiscasset, ME 04578-0130 and can be reached out via phone at 207-299-0022.

Provider Profile Details

NPI Number
1720751969
Provider Name
Shea Michael Shattuck-Faegre
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
Po Box 130, Wiscasset, ME 04578-0130
Phone Number
207-299-0022
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
July 25, 2021
Last Update Date
August 19, 2026
Certification Date
August 19, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
Po Box 130
Wiscasset, ME 04578-0130
State
Maine
Zip
04578-0130
Phone Number
207-299-0022
Wiscasset, ME 04578Get directions →

Provider Business Mailing Address Details

Address
Po Box 130
Wiscasset, ME 04578-0130
City
Wiscasset
State
ME
Zip
04578-0130
Phone Number
207-299-0022

License Information

License Number (1)
CC7724
License State (1)
ME
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
CC7724
License State (2)
ME
Taxonomy (2)
Counselor, Professional · 101YP2500X · 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 Shea M Shattuck-Faegre, LCPC?

The NPI number of Shea M Shattuck-Faegre, LCPC is 1720751969. It was assigned on July 25, 2021 and is currently active in the NPPES registry.

What is the specialty of Shea M Shattuck-Faegre, LCPC?

Shea M Shattuck-Faegre, LCPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in ME under license number CC7724.

Where does Shea M Shattuck-Faegre, LCPC practice?

The practice location is Po Box 130, Wiscasset, ME 04578-0130. The office can be reached at 207-299-0022 (phone).

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 1720751969 directly on the NPPES registry website.

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