Kate Lynn Matthews Clark, LCPC-C

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

XL5100 Issued in ME

Practice address

7 Oak Hill Ter Ste 211
Scarborough, ME 04074-8996

Phone

(207) 491-9301

NPI assigned

Aug 29, 2018

Last updated

May 6, 2020By 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 names 1

• Kate Lynn Matthews Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1679054498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GENTLE BREEZE",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040627004",
            "telephone_number": "207-491-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OAK HILL TER STE 211",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748996",
            "telephone_number": "207-491-9301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Washington Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041032842",
            "country_code": "US",
            "telephone_number": "207-871-1200",
            "fax_number": "207-871-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "KATE",
        "middle_name": "LYNN MATTHEWS",
        "credential": "LCPC-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "XL5100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "MATTHEWS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Coastal Maine Oral & Maxillofacial Surgery PA
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• Mental Health Counselor in Scarborough, ME
• Providers in Scarborough, 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 May 6, 2020; 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.