Active NPI
Beth B Stilphen, LCPC
- Professional Counselor
- Portland, ME
National Provider Identifier
1205996774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC2214
- Practice address
- 92 Deering Ave
Portland, ME 04102-2901 - Phone
- (207) 874-8140
- Fax
- (207) 874-8290
- NPI assigned
- Dec 12, 2006
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC2214 | ME | Primary |
Addresses
Primary practice location
92 Deering Ave
Portland, ME 04102-2901
Mailing address
13 Longfellow Dr
Cape Elizabeth, ME 04107-2204
Phone (207) 767-4663
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC2214 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205996774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 LONGFELLOW DR",
"city": "CAPE ELIZABETH",
"state": "ME",
"postal_code": "041072204",
"telephone_number": "207-767-4663",
"fax_number": "207-874-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 DEERING AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022901",
"telephone_number": "207-874-8140",
"fax_number": "207-874-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILPHEN",
"first_name": "BETH",
"middle_name": "B",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC2214",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.