Active NPI
Christine R Talbott, LCPC
- Counselor
- Bangor, ME
National Provider Identifier
1689792608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CC2328
- Practice address
- 77 Exchange St
Suite 403
Bangor, ME 04401 - Phone
- (207) 941-8010
- Fax
- (207) 941-8020
- NPI assigned
- Mar 27, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | CC2328 | ME | Primary |
Addresses
Primary practice location
77 Exchange St
Suite 403
Bangor, ME 04401
Mailing address
PO Box 688
61 Perkins St
Castine, ME 04421
Phone (207) 326-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079134 | Other | ANTHEM BLUE CROSS SHIELD | |
| 431537599 | 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 |
|---|---|---|---|
| CC2328 | ME | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweetser | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saco, ME
- NPI 1538122445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1689792608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 688",
"address_2": "61 PERKINS ST",
"city": "CASTINE",
"state": "ME",
"postal_code": "04421",
"telephone_number": "207-326-9900",
"fax_number": "207-941-8020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 EXCHANGE ST",
"address_2": "SUITE 403",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-941-8010",
"fax_number": "207-941-8020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBOTT",
"first_name": "CHRISTINE",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "CC2328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS SHIELD",
"identifier": "079134",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "431537599",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.