Active NPI
Sara Alanna Poulin, LCPC
- Mental Health Counselor
- Auburn, ME
National Provider Identifier
1225366875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC3954
- Practice address
- 79 Main St
Auburn, ME 04210-5811 - Phone
- (207) 951-6270
- NPI assigned
- Nov 19, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | #XL3502 | ME | |
| Mental Health Counselor | 101YM0800X | CC3954 | ME | Primary |
Addresses
Primary practice location
79 Main St
Auburn, ME 04210-5811
Mailing address
PO Box 3803
Auburn, ME 04212-3803
Phone (207) 713-0212
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 |
|---|---|---|---|
| #XL3502 | ME | MD | Mental Health Counselor |
| CC3954 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1225366875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3803",
"city": "AUBURN",
"state": "ME",
"postal_code": "042123803",
"telephone_number": "207-713-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 MAIN ST",
"city": "AUBURN",
"state": "ME",
"postal_code": "042105811",
"telephone_number": "207-951-6270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POULIN",
"first_name": "SARA",
"middle_name": "ALANNA",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-19",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "#XL3502",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "CC3954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, ME
- Robert Samuel Porter
- Possibilities Counseling Services
- Possibilities Counseling Services Inc.
- Possibilities Counseling Services, Inc.
- Pottle Hill, Inc.
- Susan Joan Powers, PSY.D.
- Scott Pratt, MS ATC LAT
- Premier Advocate and Support Services of New England LLC (PASS New England)
- Julie Ann Preston, COTA/L
- Prime Care Maine LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.