Individual provider Active NPI

Kellie Melissa Westberry, LCS5298, CCS7163

  • Addiction (Substance Use Disorder) Counselor
  • Windham, ME
National Provider Identifier
1285922211
Registry record updated Jan 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LC5298 Issued in ME
Practice address
19 Commons Ave Ste 7
Windham, ME 04062-5836
Phone
(207) 550-7439
Fax
(207) 893-8611
NPI assigned
Jul 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC5298 ME Primary

Addresses

Primary practice location

19 Commons Ave Ste 7
Windham, ME 04062-5836

Mailing address

19 Commons Ave Ste 7
Windham, ME 04062-5836
Phone (207) 550-7439

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

LicenseStateTypeSpecialty
LC5298MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Onfire LLC CurrentSince Feb 8, 2023 Accepting new patients
Counseling Onfire LLC Addiction (Substance Use Disorder) CurrentSince Feb 8, 2023 Accepting new patients

Locations

19 Commons Ave
Ste 7
Windham, ME 04062
Phone (207) 550-7439

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674950400000",
    "number": "1285922211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 COMMONS AVE STE 7",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625836",
            "telephone_number": "207-550-7439",
            "fax_number": "207-893-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 COMMONS AVE STE 7",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625836",
            "telephone_number": "207-550-7439",
            "fax_number": "207-893-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTBERRY",
        "first_name": "KELLIE",
        "middle_name": "MELISSA",
        "credential": "LCS5298, CCS7163",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC5298",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 29, 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.

Verify at the official NPI Registry.