Kelly Lynn Butler, M.A., LCPC, LADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

307 Congress St
Portland, ME 04101-3638

Phone

(207) 871-7431

NPI assigned

Feb 10, 2008

Last updated

Jan 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Catholic Charities Maine

  • Clinical Social Worker
  • Portland, ME
  • NPI 1013955947

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Beacon Youth & Prevention Services

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Salem, OR
  • NPI 1497205686
  NPD (past) Authorized official
• Catholic Charities Maine

  • Dental Clinic/Center
  • Bath, ME
  • NPI 1114151180
  NPD

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1699953885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013638",
            "telephone_number": "207-871-7431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013638",
            "telephone_number": "207-871-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "M.A., LCPC, LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-10",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Bush, PSY.D.
• Jacob Joseph Buskirk, DO
• Sydney Ann Butalla, OD
• Mary Buteyn, RD
• Mark Stanley Butkus, LCSW
• Allison L. Buttarazzi, M.D.
• Christopher Mark Buttarazzi, MD
• Matthew Samuel Buttarazzi, M.D.
• Blue B Butterfield, PA
• Arielle D. Butterly, MD

• Mental Health Counselor in Portland, ME
• Providers in Portland, 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 Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.