Organization Active NPI

The Kekoa Collaborative LLC

  • Mental Health Counselor
  • Portland, ME
National Provider Identifier
1083542799
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THE KEKOA COLLABORATIVE LLC
Practice address
615 Congress St Ste 531
Portland, ME 04101-5363
Phone
(207) 245-8479
NPI assigned
May 12, 2026
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Ms. Rebecca Anne Conners, LCPCNPI 1811358765
Title
Owner
Phone
(207) 245-8479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

615 Congress St Ste 531
Portland, ME 04101-5363

Mailing address

615 Congress St Ste 531
Portland, ME 04101-5363
Phone (207) 245-8479

National Provider Directory

National Provider Directory

Locations

615 Congress St
Ste 531
Portland, ME 04101
Phone (207) 245-8479

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1083542799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CONGRESS ST STE 531",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015363",
            "telephone_number": "207-245-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CONGRESS ST STE 531",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015363",
            "telephone_number": "207-245-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KEKOA COLLABORATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "CONNERS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-245-8479",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.