Active NPI
Kent D. Demerchant, MHRT II
- Counselor
- Caribou, ME
National Provider Identifier
1336207307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MHRT II
- Practice address
- 7 Hatch Dr
Suite 290
Caribou, ME 04736-2159 - Phone
- (207) 492-1653
- Fax
- (207) 492-1633
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| MHRT II | ME | MD | Counselor |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MHRT II | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
7 Hatch Dr
Suite 290
Caribou, ME 04736-2159
Mailing address
7 Hatch Dr
Suite 290
Caribou, ME 04736-2159
Phone (207) 492-1653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2007.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1336207307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HATCH DR",
"address_2": "SUITE 290",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047362159",
"telephone_number": "207-492-1653",
"fax_number": "207-492-1633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 HATCH DR",
"address_2": "SUITE 290",
"city": "CARIBOU",
"state": "ME",
"postal_code": "047362159",
"telephone_number": "207-492-1653",
"fax_number": "207-492-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMERCHANT",
"first_name": "KENT",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "MHRT II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "MHRT II",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caribou, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.