Shirley Ann Kirkpatrick-Clarke, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC2053 Issued in ME

Practice address

48 Park St
Dover Foxcroft, ME 04426-1000

Phone

(207) 376-0404

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional School Unit No 68 School Administrative Unit No 68

  • Local Education Agency (LEA)
  • Dover-Foxcroft, ME
  • NPI 1205040839
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1285843326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PARK ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261000",
            "telephone_number": "207-387-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 PARK ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261000",
            "telephone_number": "207-376-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK-CLARKE",
        "first_name": "SHIRLEY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC2053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334120099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katahdin Valley Health Center
• Melissa Kearns, RN
• Christine Treworgy Kenerson, R.D.
• Kevin Chasse DC, PA
• Brandy Kimball
• Rochelle Knowles, LMSW
• Brooke Labelle
• Sally L. Larrabee, RN
• Whitney Lary, APRN-CNP
• Cody Levensalor

• All providers in Dover Foxcroft, ME
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.