Michelle Jolin, LCPC-C
Individual provider Active NPI Community/Behavioral Health Agency · Buxton, ME
NPI 1164034047 · NPPES record last updated Aug 20, 2020
Key facts
- NPI
- 1164034047
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- XL5077 (ME)
- Practice address
- 207 Town Farm Rd
Buxton, ME 04093-6415 - Phone
- (207) 838-4891
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
207 Town Farm Rd
Buxton, ME 04093-6415
50 Moody St
Saco, ME 04072-0892
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL5077 | ME | MD | Community/Behavioral Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | XL5077 | ME | |
| Community/Behavioral Health Agency | 251S00000X | XL5077 | ME | Yes |
Addresses
Primary practice location
207 Town Farm Rd
Buxton, ME 04093-6415
Mailing address
207 Town Farm Rd
Buxton, ME 04093-6415
Phone (207) 838-4891
Other providers in Buxton, ME
- Sara B Hitner
- Courtney D Houp
- Erica E Hussey
- Joel S. Doyon DDS,LLC,PA
- Stephen Alan Joffe
- Kellie Jean Joyce
- Cybil A Kipp
- Peter Harmon Larrabee
- Patricia Thompson Leavitt
- Lee Grant LMT
All providers in Buxton, ME · Community/Behavioral Health Agency in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.