Individual provider Active NPI

Micaela Keyser Thompson, LMSW-CC

  • Mental Health Counselor
  • Lewiston, ME
National Provider Identifier
1326858689
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC24229 Issued in ME
Practice address
37 Park St Ste 302
Lewiston, ME 04240-7195
Phone
(207) 333-1080
NPI assigned
Jan 9, 2025
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC8859 ME
Mental Health Counselor 101YM0800X MC24229 ME Primary

Addresses

Primary practice location

37 Park St Ste 302
Lewiston, ME 04240-7195

Mailing address

37 Park St Ste 302
Lewiston, ME 04240-7195
Phone (207) 333-1080

Other practice location 1

535 Ocean Ave Ste 4
Portland, ME 04103-4970
Phone (207) 370-5389

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
CAC8859MEMDAddiction (Substance Use Disorder) Counselor
MC24229MEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avalon Services LLC Addiction (Substance Use Disorder) CurrentSince Jan 12, 2025 Accepting new patients

Locations

37 Park St
Ste 302
Lewiston, ME 04240
Phone (207) 333-1080

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1326858689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 PARK ST STE 302",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407195",
            "telephone_number": "207-333-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PARK ST STE 302",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407195",
            "telephone_number": "207-333-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Ocean Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041034970",
            "country_code": "US",
            "telephone_number": "207-370-5389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICAELA",
        "middle_name": "KEYSER",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC8859",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "MC24229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.