Active NPI
Carol Mitchell Cusick, LCPC
- Professional Counselor
- Augusta, ME
National Provider Identifier
1356458145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC509
- Practice address
- 10 Caldwell Rd
Augusta, ME 04330-5735 - Phone
- (207) 626-3448
- Fax
- (207) 626-3453
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 | CC509 | ME | Primary |
Addresses
Primary practice location
10 Caldwell Rd
Augusta, ME 04330-5735
Mailing address
10 Caldwell Rd
Augusta, ME 04330-5735
Phone (207) 626-3448
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 |
|---|---|---|---|
| CC509 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332201600000",
"number": "1356458145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CALDWELL RD",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305735",
"telephone_number": "207-626-3448",
"fax_number": "207-626-3453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CALDWELL RD",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305735",
"telephone_number": "207-626-3448",
"fax_number": "207-626-3453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL CUSICK",
"first_name": "CAROL",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2012-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.