Active NPI
Edmund J Krawic, LCPC
- Mental Health Counselor
- Damariscotta, ME
National Provider Identifier
1710009196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC1719
- Practice address
- 64 Chapman
Damariscotta, ME 04555 - Phone
- (207) 592-6968
- Fax
- (207) 563-8829
- NPI assigned
- Apr 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC1719 | ME | Primary |
Addresses
Primary practice location
64 Chapman
Damariscotta, ME 04555
Mailing address
64 Chapman St.
P.O. Box 21
Damariscotta, ME 04555
Phone (207) 592-6968
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 |
|---|---|---|---|
| CC1719 | ME | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710009196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 CHAPMAN ST.",
"address_2": "P.O. BOX 21",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "04555",
"telephone_number": "207-592-6968",
"fax_number": "207-563-8829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 CHAPMAN",
"city": "DAMARISCOTTA",
"state": "ME",
"postal_code": "04555",
"telephone_number": "207-592-6968",
"fax_number": "207-563-8829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAWIC",
"first_name": "EDMUND",
"middle_name": "J",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "CC1719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Damariscotta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.