Individual provider Active NPI

Jane S McMorrow, LCPC

  • Counselor
  • Waterville, ME
National Provider Identifier
1386766582
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
CC1738 Issued in ME
Practice address
60 Front St
Waterville, ME 04901
Phone
(207) 948-2520
Fax
(207) 948-2520
NPI assigned
Apr 6, 2007
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CC1738 ME Primary

Addresses

Primary practice location

60 Front St
Waterville, ME 04901

Mailing address

621 E Thorndike Rd
Thorndike, ME 04986
Phone (207) 948-2520

Other identifiers 3

IdentifierTypeStateIssuer
048605OtherMEBLUE CROSS BLUE SHIELD
545336000OtherMEMAGELLAN
2036546OtherMECIGNA

Other names 1

  • Jane S Shethar Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240227002529 ME Practitioner - Mental Health Counselor 0547605800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Behavioral Healthcare LLCGroup PAC ID 7214097740, 29 clinicians

Practice addresses (Care Compare)

157 Park St
Suite 5And3
Bangor, ME 04401-5093
Phone (207) 992-0410

32 College Ave
Waterville, ME 04901-6100
Phone (207) 680-2065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Behavioral Healthcare, LLC CurrentSince Jan 1, 2024 Accepting new patients
Appleton Medical Center Past Accepting new patients

Locations

157 Park St
Ste 5
Bangor, ME 04401
Phone (207) 992-0410

222 Saint John St
Ste 113
Portland, ME 04102
Phone (207) 772-2440

32 College Ave
Ste 206
Waterville, ME 04901
Phone (207) 680-2065

Organizations & group practices 2

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1386766582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 E THORNDIKE RD",
            "city": "THORNDIKE",
            "state": "ME",
            "postal_code": "04986",
            "telephone_number": "207-948-2520",
            "fax_number": "207-948-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FRONT ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "04901",
            "telephone_number": "207-948-2520",
            "fax_number": "207-948-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMORROW",
        "first_name": "JANE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "CC1738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "048605",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "545336000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2036546",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "SHETHAR",
            "middle_name": "S",
            "credential": "LCPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.