THOMAS P RIDDELL (LCPC) – Professional Counselor, NPI 1073829230

THOMAS P RIDDELL (LCPC) is a healthcare provider. based in Saco, Maine. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. CC1974 (ME). The NPI Number for THOMAS P RIDDELL (LCPC) is 1073829230

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS P RIDDELL (LCPC)
NPI
1073829230
Phone
(800) 434-3000
Address
50 MOODY ST
Enumeration Date
26 August 2010
Last Update Date
26 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2078280048
Graduation Year
1997 (29 years ago)
PAC ID
4082054382
Group Practice PAC ID
5496078206
Professional Enrollment ID
I20240604003135
Address ID
ME041066940SO280XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

362 MENTAL HEALTH COUNSELOR in ME

Provider Addresses for THOMAS P RIDDELL (LCPC)

  • 50 MOODY ST

    SACO, ME 040721536

    Phone: (800) 434-3000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240604003135IMental Health CounselorMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04072)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496078206View full group profile
NameSpecialtyState
-ME
P S Y C H I A T R YME
Clinical Social WorkerME
Mental Health CounselorME
P S Y C H I A T R YME
Clinical Social WorkerME

Reviews

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Frequently asked questions

Can I cross-check THOMAS P RIDDELL (LCPC) using NPI 1073829230?
NPI 1073829230 belongs to THOMAS P RIDDELL (LCPC); compare other details if you need extra assurance.
Active or inactive — what applies to THOMAS P RIDDELL (LCPC)?
You should see THOMAS P RIDDELL (LCPC) as active in CMS-hosted NPPES data.
How would a patient describe THOMAS P RIDDELL (LCPC)'s focus?
For THOMAS P RIDDELL (LCPC), the primary taxonomy reads as Professional Counselor. Clinical services aligned with this taxonomy classification.
Is THOMAS P RIDDELL (LCPC) located near Saco?
THOMAS P RIDDELL (LCPC) currently maps to Saco, Maine in this extract.
Does THOMAS P RIDDELL (LCPC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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