Kerish Benttinen LCSW, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC13117 Issued in ME

Legal business name

KERISH BENTTINEN LCSW, LLC

Practice address

179 Main St
Suite 401
Waterville, ME 04901-6672

Phone

(207) 649-9772

Fax

(207) 616-0577

NPI assigned

Aug 22, 2015

Organization subpart

No

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

Authorized official

Name

Kerish Benttinen, LCSWNPI 1730316910

Title

Owner

Phone

(207) 649-9772

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kerish N Benttinen, LMSW

  • Social Worker
  • Waterville, ME
  • NPI 1730316910
  NPD (past) Authorized official

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

{
    "created_epoch": "1440201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440201600000",
    "number": "1477920775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 1ST RANGEWAY",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015161",
            "telephone_number": "207-649-9772",
            "fax_number": "207-616-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 MAIN ST",
            "address_2": "SUITE 401",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016672",
            "telephone_number": "207-649-9772",
            "fax_number": "207-616-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERISH BENTTINEN LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-22",
        "last_updated": "2015-08-22",
        "status": "A",
        "authorized_official_last_name": "BENTTINEN",
        "authorized_official_first_name": "KERISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-649-9772",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC13117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennebec Valley Mental Health Center
• Kennebec Valley Mental Health Center
• Rebecca Ellen Kennedy, LCPC-C
• Elizabeth Kristen Kennett, RN
• Robert Luther Kenney, D.O
• Catherine Milliken Kimball, DO
• Jamie Lynn Kimball, FNP
• Beverly A Kimpel, MD
• Abbigail Sarah King
• Kristina Ann King, PMHNP-BC

• Mental Health Counselor in Waterville, ME
• Providers in Waterville, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2015; 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.