Individual provider Active NPI

Kent D. Demerchant, MHRT II

  • Counselor
  • Caribou, ME
National Provider Identifier
1336207307
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MHRT II Issued in ME
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

LicenseStateTypeSpecialty
MHRT IIMEMDCounselor

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MHRT II ME Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.