Kristina Jade Colby, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAC8603 Issued in ME

Practice address

90 Western Ave
Augusta, ME 04330-7270

Phone

(207) 245-1800

Fax

(207) 621-0643

NPI assigned

Oct 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Enso Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Augusta, ME
  • NPI 1639896533
  NPD

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1508638016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 WESTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WESTERN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307270",
            "telephone_number": "207-245-1800",
            "fax_number": "207-621-0643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "ME",
            "postal_code": "043307264",
            "country_code": "US",
            "telephone_number": "207-245-1800",
            "fax_number": "207-621-0643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Winter St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040733322",
            "country_code": "US",
            "telephone_number": "207-324-4054",
            "fax_number": "207-324-4074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLBY",
        "first_name": "KRISTINA",
        "middle_name": "JADE",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC8603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Coachman, LPN
• Julie A Cockley, LCSW
• Linda Jeanne Coelho, M.S., SLP-CCC
• Diane Coffey, LMSW-CC
• Michelle Lee Cogswell, CPHT
• Scott Colcord
• Elaine Marie Colfer, RN
• Colin Routh, LCSW, LLC
• Brooke Grace Collins, PH.D.
• Samuel Collins, PTA

• Addiction (Substance Use Disorder) Counselor in Augusta, ME
• Providers in Augusta, ME by specialty
• Addiction (Substance Use Disorder) Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.