Heather Lauran Koelker, LCPC-C
Individual provider Active NPI Counselor · North Berwick, ME
NPI 1619611647 · NPPES record last updated Apr 26, 2022
Key facts
- NPI
- 1619611647
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- XL6536 (ME)
- Practice address
- 2 Rothenburg Platz
North Berwick, ME 03906-6172 - Phone
- (207) 752-3078
- NPI assigned
- Apr 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL6536 | ME | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Counseling Services, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | XL6536 | ME | Yes |
Addresses
Primary practice location
2 Rothenburg Platz
North Berwick, ME 03906-6172
Mailing address
2 Rothenburg Platz
North Berwick, ME 03906-6172
Phone (207) 752-3078
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | heatherkoelker@risecounselingservices.net | Direct |
Other providers in North Berwick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.