Active NPI
Suzanne King, LCPC
- Professional Counselor
- Bangor, ME
National Provider Identifier
1306234307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC5436
- Practice address
- 15 Burleigh Rd Apt 6
Bangor, ME 04401-2559 - Phone
- (207) 659-4215
- NPI assigned
- Dec 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC5436 | ME | Primary |
Addresses
Primary practice location
15 Burleigh Rd Apt 6
Bangor, ME 04401-2559
Mailing address
15 Burleigh Rd Apt 6
Bangor, ME 04401-2559
Phone (207) 659-4215
Other practice location 1
17 Doughty Dr Ste 213
Brewer, ME 04412-2289
Phone (207) 659-4215
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
306 Rodman Rd
Auburn, ME 04210-3830
Phone (207) 333-3278
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC5436 | ME | MD | Professional Counselor |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Auburn, ME
- NPI 1932413556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1306234307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BURLEIGH RD APT 6",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012559",
"telephone_number": "207-659-4215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 BURLEIGH RD APT 6",
"city": "BANGOR",
"state": "ME",
"postal_code": "044012559",
"telephone_number": "207-659-4215"
}
],
"practiceLocations": [
{
"address_1": "17 Doughty Dr Ste 213",
"address_purpose": "LOCATION",
"city": "Brewer",
"state": "ME",
"postal_code": "044122289",
"country_code": "US",
"telephone_number": "207-659-4215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "SUZANNE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-30",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC5436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.