Active NPI
Kelly L Wright, LCPC-C
- Professional Counselor
- Skowhegan, ME
National Provider Identifier
1427387273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL3592
- Practice address
- 316 Water St
Skowhegan, ME 04976-1734 - Phone
- (207) 399-3446
- Fax
- (207) 474-9644
- NPI assigned
- Dec 8, 2009
- 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 | XL3592 | ME | Primary |
Addresses
Primary practice location
316 Water St
Skowhegan, ME 04976-1734
Mailing address
1 Main St
Palmyra, ME 04965-4004
Phone (207) 399-3446
Other names 1
- Kelly L Hanscom
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 |
|---|---|---|---|
| XL3592 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1427387273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MAIN ST",
"city": "PALMYRA",
"state": "ME",
"postal_code": "049654004",
"telephone_number": "207-399-3446",
"fax_number": "207-474-9644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 WATER ST",
"city": "SKOWHEGAN",
"state": "ME",
"postal_code": "049761734",
"telephone_number": "207-399-3446",
"fax_number": "207-474-9644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "KELLY",
"middle_name": "L",
"credential": "LCPC-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-08",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL3592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "HANSCOM",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Skowhegan, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.