Caitlin D Ambo, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC6196 Issued in ME

Practice address

32 No High Street
Bridgton, ME 04009

Phone

(207) 647-5329

Fax

(207) 647-5620

NPI assigned

Apr 25, 2018

Last updated

Jul 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy HospitalGroup PAC ID 6103737812, 307 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Light Mercy Hospital Hospital, Portland, ME, CCN 200008

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  Medicare reassignment Care Compare group NPD
• Tranquility Counseling Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westbrook, ME
  • NPI 1427764638
  Medicare reassignment NPD Authorized official
• Mercy Hospital

  dba Northern Light Mercy Health Center

  • Rural Health Clinic/Center
  • Windham, ME
  • NPI 1396496378
  NPD
• Mercy Hospital

  dba Mercy Medical Associates

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1427313048
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital

  dba Mercy Medical Associates

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1427313048
  Care Compare affiliation
• Mercy Hospital

  • General Acute Care Hospital
  • Portland, ME
  • NPI 1629078712
  Care Compare affiliation

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1316435407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 229",
            "city": "OLD ORCHARD BEACH",
            "state": "ME",
            "postal_code": "04064",
            "telephone_number": "207-590-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 NO HIGH STREET",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "04009",
            "telephone_number": "207-647-5329",
            "fax_number": "207-647-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBO",
        "first_name": "CAITLIN",
        "middle_name": "D",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC6196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payson S Adams, M.D.
• Paul Monte Alexander, CRNA
• Megan Anderson, DPT, CLT
• Danielle Marie Andrews, LCSW
• Shilo Annis, DMD
• Stephanie M. Arey, PT
• Arlene Learned

• Professional Counselor in Bridgton, ME
• Providers in Bridgton, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.

Verify at the official NPI Registry.