Christy Ann Cole, LCPC

Individual provider Active NPI Professional Counselor · Kennebunk, ME

NPI 1003005604 · NPPES record last updated Jan 12, 2024

Key facts

NPI
1003005604
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
CC2671 (ME)
Practice address
36 Main St Ste D
Kennebunk, ME 04043-5000
Phone
(207) 370-8329
Fax
(207) 967-4929
NPI assigned
Oct 18, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CC2671MEMDProfessional Counselor
590NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wayfinder LLC Mental Health Current
since Jul 1, 2021
Accepting new patients

Locations

2 Christensen Ln
Ste 2
Kennebunk, ME 04043
Phone (207) 370-4735

36 Main St
Ste D
Kennebunk, ME 04043
Phone (207) 370-8329

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 590 NH
Professional Counselor 101YP2500X CC2671 ME Yes

Addresses

Primary practice location

36 Main St Ste D
Kennebunk, ME 04043-5000

Mailing address

524 Alewive Rd
Kennebunk, ME 04043-6017
Phone (603) 828-1739

Other providers in Kennebunk, ME

All providers in Kennebunk, ME · Professional Counselor in Maine

Sources for this page

Verify at the official NPI Registry.