Makiko Matsuoka, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CC3223 Issued in ME

Practice address

34 Dresser Rd
Scarborough, ME 04074-9767

Phone

(207) 907-9539

NPI assigned

May 26, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northeast Occupational Exchange, Inc

  • Psychologist
  • Bangor, ME
  • NPI 1427002138

  Professional

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1003862160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6568",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040706568",
            "telephone_number": "207-907-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 DRESSER RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749767",
            "telephone_number": "207-907-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUOKA",
        "first_name": "MAKIKO",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL2717",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "CC3223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM LEGACY NUMBER",
            "identifier": "098304",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431733799",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Maria Martin, ANPBC
• Lila M Martin, MD,MPH
• Susan E Martin, PMH-NP
• Alexander John Martinez, M.D.
• Christina Mastriano, MS, RDN, CDE
• Beth O Matz, MS CCC-SLP
• Sherry C Mauzerolle, CADC
• Carrie McChesney Maynard, LCSW
• Maynesayre PC
• Mark L McAllister, MD

• Counselor in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.