Colleen Fradette, LMHC, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC5341 Issued in ME

Practice address

19 Cottagewood LN
Kennebunk, ME 04043-7368

Phone

(207) 229-5357

NPI assigned

Nov 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1255844031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 COTTAGEWOOD LN",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437368",
            "telephone_number": "207-229-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 COTTAGEWOOD LN",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040437368",
            "telephone_number": "207-229-5357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cummings Ctr Ste 335D",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019156123",
            "country_code": "US",
            "telephone_number": "207-229-5357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRADETTE",
        "first_name": "COLLEEN",
        "credential": "LMHC, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9202",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC5341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merilee Lacey Forbes-Kearns, MA MS CCC-SLP
• Lawrence Ford
• Crescentia Jean Fosmire, OTRL
• Mary Foster, OT
• Tina Lynn Fox, PTA
• Fran S Kessler, LCSW
• Birgit Frandsen, LCSW
• Deborah A Freeman, RN FNP
• Earl R Freeman Jr., D.O.
• Janet Blake Freeman

• Mental Health Counselor in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.