Desiree Ketch, MHRT-1

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2 Airport Dr
Presque Isle, ME 04769-2041

Phone

(207) 764-0759

Fax

(207) 768-5377

NPI assigned

Apr 22, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Aroostook Mental Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Presque Isle, ME
  • NPI 1487601399
  NPD (past)

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1538503586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AIRPORT DR",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692041",
            "telephone_number": "207-764-0759",
            "fax_number": "207-768-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 AIRPORT DR",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692041",
            "telephone_number": "207-764-0759",
            "fax_number": "207-768-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCH",
        "first_name": "DESIREE",
        "credential": "MHRT-1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010276859",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Alan Kaiser, MD
• Felicite Mbombo Kamba, LD
• Niraj Karki, M.D.
• Sonya Keene, LCSW
• Amanda Ketch
• Fleur L. Kilcollins, MHRT-C
• Leanna Kimball, MHRT-CSP
• Kindness in Development Services, LLC
• Amy King, RN, WCC
• Evgeny Kirsanov, M.D.

• Mental Health Counselor in Presque Isle, ME
• Providers in Presque Isle, 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 Apr 22, 2013; 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.