Individual provider Active NPI

Meredith Jane Robitaille, LCPCC

  • Mental Health Counselor
  • Lewiston, ME
National Provider Identifier
1497853410
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
XL3144 Issued in ME
Practice address
1155 Lisbon Street
Lewiston, ME 04241
Phone
(207) 783-9141
Fax
(207) 783-4660
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 XL3144 ME Primary

Addresses

Primary practice location

1155 Lisbon Street
Lewiston, ME 04241

Mailing address

480A Turner St
Auburn, ME 04210
Phone (207) 577-2634

Other names 1

  • Meredith Jane McLean Former name

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
XL3144MEMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497853410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480A TURNER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "04210",
            "telephone_number": "207-577-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 LISBON STREET",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04241",
            "telephone_number": "207-783-9141",
            "fax_number": "207-783-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBITAILLE",
        "first_name": "MEREDITH",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LCPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL3144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEREDITH",
            "last_name": "MCLEAN",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.