Agape Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AGAPE INC.

Practice address

25 Middle St
Portland, ME 04101-4869

Phone

(207) 773-3275

NPI assigned

Aug 17, 2020

Last updated

Aug 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelley Barton Newkirk, LMSW-CCNPI 1619588407

Title

Counselor

Phone

(207) 250-0400

Specialties & licenses 1

Addresses

Other names 1

• InnerEdge Associates Other name

Practitioners 1

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.

• Kelley Barton Newkirk, LMSW-CC

  • Clinical Social Worker
  • Portland, ME
  • NPI 1619588407
  NPD Authorized official

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1720699333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MIDDLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014869",
            "telephone_number": "207-773-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MIDDLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014869",
            "telephone_number": "207-773-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "NEWKIRK",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "207-250-0400",
        "authorized_official_credential": "LMSW-CC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnerEdge Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Affinity
• Affinityhomecare
• Agape Residential Care LLC
• Isha Agarwal
• Richard Tanyi Agbortoko, PHARMD
• Nirupama Aggarwal, OD
• Aging Kingdom Homecare (Aging Kingdom)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portland, ME
• Providers in Portland, ME by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.