Active NPI
Jennifer B McCarthy, L.M.H.C.
- Mental Health Counselor
- Porter, ME
National Provider Identifier
1154588283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4615
- Practice address
- 70 Main St
Porter, ME 04068-3527 - Phone
- (207) 625-8126
- NPI assigned
- May 16, 2008
- Last updated
- Jun 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4615 | MA | Primary |
Addresses
Primary practice location
70 Main St
Porter, ME 04068-3527
Mailing address
PO Box 777
Suite 203
Parsonsfield, ME 04047-0777
Phone (207) 625-8126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC4146 | Other | ME | LCPC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1154588283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 777",
"address_2": "SUITE 203",
"city": "PARSONSFIELD",
"state": "ME",
"postal_code": "040470777",
"telephone_number": "207-625-8126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 MAIN ST",
"city": "PORTER",
"state": "ME",
"postal_code": "040683527",
"telephone_number": "207-625-8126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "JENNIFER",
"middle_name": "B",
"credential": "L.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-16",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "4615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCPC",
"identifier": "CC4146",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Porter, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.