Individual provider Active NPI

Renee Nicole Joles, LCPC

  • Professional Counselor
  • Portland, ME
National Provider Identifier
1407529829
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC7341 Issued in ME
Practice address
95 Illsley St
Portland, ME 04103-4942
Phone
(207) 200-6984
Fax
(207) 804-7226
NPI assigned
Jul 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X CC7341 ME Primary

Addresses

Primary practice location

95 Illsley St
Portland, ME 04103-4942

Mailing address

62 Portland Rd Ste 25a
Kennebunk, ME 04043-6799
Phone (207) 200-6984

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
CC7341MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wayfinder LLC Mental Health CurrentSince Aug 1, 2021 Accepting new patients

Locations

2 Christensen Ln
Ste 2
Kennebunk, ME 04043
Phone (207) 370-4735

36 Main St
Ste D
Kennebunk, ME 04043
Phone (207) 370-8329

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1407529829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PORTLAND RD STE 25A",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436799",
            "telephone_number": "207-200-6984",
            "fax_number": "207-804-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ILLSLEY ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041034942",
            "telephone_number": "207-200-6984",
            "fax_number": "207-804-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLES",
        "first_name": "RENEE",
        "middle_name": "NICOLE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC7341",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 2, 2025; 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.