Jon St. Peter LCSW

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

JON ST. PETER LCSW

Practice address

21 Elm St Ste 302
Camden, ME 04843-1902

Phone

(207) 491-0502

NPI assigned

Aug 21, 2019

Organization subpart

No

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

Authorized official

Name

Jon M St. Peter, LCSWNPI 1063944817

Title

Owner

Phone

(207) 491-0502

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon M St. Peter, LCSW

  • Clinical Social Worker
  • Camden, ME
  • NPI 1063944817
  NPD Authorized official

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627948800000",
    "number": "1154978468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 513",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048430513",
            "telephone_number": "207-491-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ELM ST STE 302",
            "city": "CAMDEN",
            "state": "ME",
            "postal_code": "048431902",
            "telephone_number": "207-491-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON ST. PETER LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "ST. PETER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-491-0502",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Jeffrey Heroux, LADC, CCS
• Abigail Higgins
• Hope Health PC
• Amy L Jenner, M.AC. DIPL. AC. LAC
• Carlton Douglas Johnstone, DC
• Richard J Kahn, M.D.
• Elise Kaserman, PHARM.D
• Kathleen Dishner, Inc
• Kemberling and Willey PA
• Cecilia Kinast, PH.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Camden, ME
• Providers in Camden, ME by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.