Diane M Knowlton, L.C.P.C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC3288 Issued in ME

Practice address

40 Ball Park Rd
Sabattus, ME 04280-4246

Phone

(207) 375-6961

NPI assigned

Dec 13, 2010

Sex

Female

Sole proprietor

Yes

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.

• Regional School Unit #4

  • Community/Behavioral Health Agency
  • Sabattus, ME
  • NPI 1700189628
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2010.

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1063715134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FRANKLIN ST",
            "address_2": "1ST FLOOR BACK",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406340",
            "telephone_number": "207-740-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BALL PARK RD",
            "city": "SABATTUS",
            "state": "ME",
            "postal_code": "042804246",
            "telephone_number": "207-375-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "DIANE",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "L.C.P.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC3288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aging in the 207, LLC
• CSD #15
• Erin M Dandrea, OTR/L
• Maureen Suzanne Gorman, N.P.
• Paula J Jursa, LCPC, LADC, CCS
• L Boulet LLC
• Wenxuan Ma, ED
• Breeann Merrill, LCPC-C
• Regional School Unit #4
• Sabattus School Department

• All providers in Sabattus, ME
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.