Organization Active NPI

Acorn & Oak LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kennebunk, ME
National Provider Identifier
1679172118
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ACORN & OAK LLC
Practice address
5 Fletcher St Ste 202
Kennebunk, ME 04043-6705
Phone
(207) 614-4108
Fax
(207) 517-5305
NPI assigned
Oct 24, 2020
Last updated
Aug 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Authorized official

Name
Penelope Faith Snow, LCSWNPI 1003157884
Title
Owner/Ceo
Phone
(207) 614-4108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

5 Fletcher St Ste 202
Kennebunk, ME 04043-6705

Mailing address

5 Fletcher St Ste 202
Kennebunk, ME 04043-6705
Phone (207) 614-4108

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address psnow@acornoakmaine.com Direct
Direct Messaging Address psnow@acornoakmaine.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250326003165 ME Part B Supplier - Clinic/Group Practice 2466975891 Receives reassigned benefits from 1 practitioner
Practice locations: Kennebunk, ME

National Provider Directory

National Provider Directory

Locations

5 Fletcher St
Fl 2
Kennebunk, ME 04043

5 Fletcher St
Ste 202
Kennebunk, ME 04043
Phone (207) 200-7358

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1679172118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FLETCHER ST STE 202",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436705",
            "telephone_number": "207-614-4108",
            "fax_number": "207-517-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FLETCHER ST STE 202",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040436705",
            "telephone_number": "207-614-4108",
            "fax_number": "207-517-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACORN & OAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "FAITH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "207-614-4108",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psnow@acornoakmaine.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 Elm Street",
            "address_2": "#1",
            "city": "Kennebunk",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040437449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psnow@acornoakmaine.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5 Fletcher St Ste 202",
            "city": "Kennebunk",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040436705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.