Individual provider Active NPI

Elsa Kevin, LCPC

  • Professional Counselor
  • Takoma Park, MD
National Provider Identifier
1518592997
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC6613 Issued in ME
Practice address
7107 13TH Ave
Takoma Park, MD 20912-7068
Phone
(207) 712-4838
NPI assigned
Mar 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC6613 ME Primary

Addresses

Primary practice location

7107 13TH Ave
Takoma Park, MD 20912-7068

Mailing address

7107 13TH Ave
Takoma Park, MD 20912-7068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125001064 ME Practitioner - Mental Health Counselor 1951754084 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kennebec Valley Mental Health Center CurrentSince Jan 1, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Aug 1, 2025 Accepting new patients

Locations

66 Stone St
Augusta, ME 04330
Phone (207) 626-3455

400 Congress St
Portland, ME 04101
Phone (678) 508-1130

67 Eustis Pkwy
Waterville, ME 04901
Phone (207) 660-4549

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1518592997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 13TH AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 13TH AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127068",
            "telephone_number": "207-712-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEVIN",
        "first_name": "ELSA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.