Active NPI
Victoria Amanda Kugel, LCPC
- Professional Counselor
- Bangor, ME
National Provider Identifier
1598953697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC2264
- Practice address
- 189 Exchange St
Bangor, ME 04401-6507 - Phone
- (207) 944-5333
- Fax
- (207) 433-1025
- NPI assigned
- Oct 15, 2007
- Last updated
- Feb 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC2264 | ME | Primary |
Addresses
Primary practice location
189 Exchange St
Bangor, ME 04401-6507
Mailing address
PO Box 1788
Bangor, ME 04402-1788
Phone (207) 944-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 431711799 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC2264 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1598953697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1788",
"city": "BANGOR",
"state": "ME",
"postal_code": "044021788",
"telephone_number": "207-944-5333",
"fax_number": "207-433-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 EXCHANGE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016507",
"telephone_number": "207-944-5333",
"fax_number": "207-433-1025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUGEL",
"first_name": "VICTORIA",
"middle_name": "AMANDA",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-15",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC2264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431711799",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
- Donald W Krause, MD
- Andrew David Kreitzer, PSY.D.
- Kris Sornberger Osteopathic Healthcare (Form Function Osteopathic Medicine)
- Fredric A Kristal, PHD
- Agnieszka Karolina Serwik Kronholm, PH.D.
- Jennie Kuhn, LCPC-C
- Allison Cosslett Kulikowski, DO
- Davina K Kulikowski, LCSW
- Timothy Christopher Kulikowski, DO
- Ghanavi Kumaran, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.