Active NPI
Cheryl L Klein, M. DIV.
- Pastoral Counselor
- Windham, ME
National Provider Identifier
1285744367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- LP1091
- Practice address
- 30 Hemon Cobb Rd
Windham, ME 04062 - Phone
- (207) 892-7656
- Fax
- (207) 892-0637
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | LP1091 | ME | Primary |
Addresses
Primary practice location
30 Hemon Cobb Rd
Windham, ME 04062
Mailing address
30 Hemon Cobb
PO Box 204
South Windham, ME 04082
Phone (207) 892-7656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2068071 | Other | CIGNA | |
| 026917 | Other | ANTHEM |
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 |
|---|---|---|---|
| LP1091 | ME | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285744367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HEMON COBB",
"address_2": "PO BOX 204",
"city": "SOUTH WINDHAM",
"state": "ME",
"postal_code": "04082",
"telephone_number": "207-892-7656",
"fax_number": "207-892-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HEMON COBB RD",
"city": "WINDHAM",
"state": "ME",
"postal_code": "04062",
"telephone_number": "207-892-7656",
"fax_number": "207-892-0637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "CHERYL",
"middle_name": "L",
"credential": "M. DIV.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "ME",
"license": "LP1091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2068071",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "026917",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Windham, 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.