Active NPI
Michael Stetson, LCPC-C
- Professional Counselor
- Waterville, ME
National Provider Identifier
1720393010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL3549
- Practice address
- 32 College Ave
Suite 206
Waterville, ME 04901-6100 - Phone
- (207) 680-2065
- Fax
- (207) 680-2068
- NPI assigned
- Aug 11, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL3549 | ME | Primary |
Addresses
Primary practice location
32 College Ave
Suite 206
Waterville, ME 04901-6100
Mailing address
32 College Ave
Suite 206
Waterville, ME 04901-6100
Phone (207) 680-2065
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 |
|---|---|---|---|
| XL3549 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1720393010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 COLLEGE AVE",
"address_2": "SUITE 206",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016100",
"telephone_number": "207-680-2065",
"fax_number": "207-680-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 COLLEGE AVE",
"address_2": "SUITE 206",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016100",
"telephone_number": "207-680-2065",
"fax_number": "207-680-2068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STETSON",
"first_name": "MICHAEL",
"credential": "LCPC-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL3549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.