Katherine Jamieson Stein, MA, LCPC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC5402 Issued in ME

Practice address

84 Colley Brook Dr
Windham, ME 04062-4557

Phone

(603) 566-6133

NPI assigned

Sep 19, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Flourishing Mind Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1922601665

  ME

  Medicare reassignment NPD Authorized official
• Catholic Charities Maine

  • Clinical Social Worker
  • Portland, ME
  • NPI 1013955947

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1093263154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 COLLEY BROOK DR",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624557",
            "telephone_number": "603-566-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 COLLEY BROOK DR",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040624557",
            "telephone_number": "603-566-6133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Dunn St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "ME",
            "postal_code": "042106821",
            "country_code": "US",
            "telephone_number": "207-784-2901 x7888",
            "fax_number": "207-783-5134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "53 Baxter Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041011827",
            "country_code": "US",
            "telephone_number": "603-883-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "KATHERINE",
        "middle_name": "JAMIESON",
        "name_prefix": "Ms.",
        "credential": "MA, LCPC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC6753",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC6170",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL4750",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC5402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Theresa Stockhausen-Gauthier, M.S. AUDIOLOGIST
• George W Stockwell, D.O.
• Niles Katherine Stuntz, DVM
• Sunrise Residential Care
• Faith Swenson

• All providers in Windham, ME
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.