Katie Thiboutot Dolinsky, LMFT
Individual provider Active NPI Marriage & Family Therapist · Westbrook, ME
NPI 1588211908 · NPPES record last updated Jul 8, 2021
Key facts
- NPI
- 1588211908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 3623 (MN)
- Practice address
- 201 Main St Ste 2
Westbrook, ME 04092-4763 - Phone
- (401) 598-6791
- NPI assigned
- Aug 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 10, 2024 through Jan 10, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3623 | MN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Little Birds Therapy and Wellness, LLC | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
201 Main St
Ste 2
Westbrook, ME 04092
Phone (207) 572-5504
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3623 | MN | Yes |
Addresses
Primary practice location
201 Main St Ste 2
Westbrook, ME 04092-4763
Mailing address
201 Main St Ste 2
Westbrook, ME 04092-4763
Phone (401) 598-6791
Other practice location 1
595 Selby Ave
Saint Paul, MN 55102-1730
Phone (320) 245-1080
Other providers in Westbrook, ME
- Diane Harris LCSW Cadc LLC
- Patrick Manzanza Diongo
- Susan Dix
- Robin A Dobrinick
- Kendall Dolan
- Ellen Dorr
- Catherine Marie Dougherty
- James Allison Douglas
- Dove Healthcare LLC
- Jennifer Downing
All providers in Westbrook, ME · Marriage & Family Therapist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.