Patricia V Kelleher, MA,LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC2066 Issued in ME

Practice address

159 Waldo Ave Apt 2
Belfast, ME 04915-6941

Phone

(207) 505-8561

NPI assigned

Aug 31, 2007

Last updated

Jan 16, 2024By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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

• Brightside Health, Inc.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1073072658

  ME

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  ME

  Medicare reassignment NPD
• Charlotte White Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dover Foxcroft, ME
  • NPI 1649337197
  NPD (past)
• Penquis C.a.P., Inc.

  • Community/Behavioral Health Agency
  • Bangor, ME
  • NPI 1720087075
  NPD (past)

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1306030457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 WALDO AVE APT 2",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156941",
            "telephone_number": "207-505-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WALDO AVE APT 2",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156941",
            "telephone_number": "207-505-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "PATRICIA",
        "middle_name": "V",
        "credential": "MA,LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC2066",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC2066",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288710099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordans Place Pediatrics, PA
• Grace Elizabeth Joyner, MS LCAT LCPC-CC
• Patricia Edith Kaplan, LCSW, CADC
• Maggie Q. Karoff, LMSW-CC
• Steven Murray Keene, NP, RN
• Sarah Kelleter, LCSW
• Donna Marie Kelley, LCSW
• Karen L.M. Kelley
• Christina Wheelwright Kelly, PT
• Melissa Lyn Kelly, LCPC

• Mental Health Counselor in Belfast, ME
• Providers in Belfast, 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 Jan 16, 2024; 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.