WALLACE J JR. FRASER (LCPC) – Mental Health Counselor, NPI 1578790499
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
371 MENTAL HEALTH COUNSELOR in ME
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Provider Addresses for WALLACE J JR. FRASER (LCPC)
27 WILBUR DR
HAMPDEN, ME 044441420
Phone: (207) 735-7136
Fax: (207) 614-7141
Type: Mailing
1599, Pushaw Road, East Bangor, Bangor, Penobscot County, Maine, 04401, United States
BANGOR, ME 044021599
Phone: (207) 404-8200
Fax: (207) 947-0435
Type: Mailing
735, Wilson Street, Brewer, Penobscot County, Maine, 04412, United States
BREWER, ME 04412
Phone: (207) 989-1567
Type: Location
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: 2024-02-14
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240214002333 | I | Mental Health Counselor | ME | TBD |
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.
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 04444)
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