Individual provider Active NPI

Kristin Leigh Tugman, LPC

  • Mental Health Counselor
  • Gorham, ME
National Provider Identifier
1497468656
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC003448 Issued in GA
Practice address
49 Valley View Dr
Gorham, ME 04038-2543
Phone
(207) 650-9110
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC003448 GA Primary

Addresses

Primary practice location

49 Valley View Dr
Gorham, ME 04038-2543

Mailing address

49 Valley View Dr
Gorham, ME 04038-2543
Phone (207) 650-9110

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL telehealth Direct

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
LPC003448GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1497468656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 VALLEY VIEW DR",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382543",
            "telephone_number": "207-650-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 VALLEY VIEW DR",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382543",
            "telephone_number": "207-650-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGMAN",
        "first_name": "KRISTIN",
        "middle_name": "LEIGH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC003448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "telehealth",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "49 Valley View Dr",
            "city": "Gorham",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040382543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gorham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.