Jill Mertinke, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC2367 Issued in ME

Practice address

25 Main Street
Suite #5
Machias, ME 04654

Phone

(207) 255-4833

NPI assigned

Apr 5, 2007

Last updated

Oct 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Respectful Living, LLC

  • Professional Counselor
  • Machias, ME
  • NPI 1790093045
  NPD Authorized official

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1558483982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DWELLEY ROAD",
            "city": "EAST MACHIAS",
            "state": "ME",
            "postal_code": "046304003",
            "telephone_number": "207-263-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN STREET",
            "address_2": "SUITE #5",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "04654",
            "telephone_number": "207-255-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTINKE",
        "first_name": "JILL",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC2367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7136870",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "100535",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "542081155",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Meader, MHRT-CSP
• Lori Mellerup, MHRT-CSP
• Kaitlin Merchant, OTA
• Evan T Merrill, APRN, FNP-BC
• Patricia Ann Merritt, R.N. B.S.N
• Sherrie Ann Metcalf, BHP
• Avanelle Mitchell
• Bernadette Mubang, REGISTERED NURSE
• Bjarni L Myers, CNM, MS
• Gretchen A Neubelt, MHRT-C

• Professional Counselor in Machias, ME
• Providers in Machias, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.