Active NPI
Carol Leet Kerr, D. MIN., L.C.P.C.
- Professional Counselor
- Portland, ME
National Provider Identifier
1396925624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC23
- Practice address
- 38 Pleasant St
Portland, ME 04101-3964 - Phone
- (207) 761-2005
- Fax
- (207) 761-2005
- NPI assigned
- Nov 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | CC23 | ME | Primary |
Addresses
Primary practice location
38 Pleasant St
Portland, ME 04101-3964
Mailing address
38 Pleasant St
Portland, ME 04101-3964
Phone (207) 761-2005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26946 | Other | ME | ANTHEM BLUE CROSS |
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 |
|---|---|---|---|
| CC23 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194048000000",
"number": "1396925624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 PLEASANT ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013964",
"telephone_number": "207-761-2005",
"fax_number": "207-761-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 PLEASANT ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041013964",
"telephone_number": "207-761-2005",
"fax_number": "207-761-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "CAROL",
"middle_name": "LEET",
"name_prefix": "Dr.",
"credential": "D. MIN., L.C.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-03",
"last_updated": "2007-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "26946",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.