Organization Active NPI

Respectful Living, LLC

  • Professional Counselor
  • Machias, ME
National Provider Identifier
1790093045
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC2367 Issued in ME
Legal business name
RESPECTFUL LIVING, LLC
Practice address
25 Main St Ste 5
Machias, ME 04654-1165
Phone
(207) 255-4833
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Jill Mertinke, LCPCNPI 1558483982
Title
Ceo
Phone
(207) 255-4833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X CC2367 ME Primary

Addresses

Primary practice location

25 Main St Ste 5
Machias, ME 04654-1165

Mailing address

107 Dwelley Rd
East Machias, ME 04630-4003
Phone (207) 255-4833

Other names 1

  • Jill Mertinke, LCPC Other name

National Provider Directory

National Provider Directory

Locations

25 Main St
Machias, ME 04654
Phone (207) 255-3417

25 Main St
Ste 5
Machias, ME 04654
Phone (207) 255-4833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1790093045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 DWELLEY RD",
            "city": "EAST MACHIAS",
            "state": "ME",
            "postal_code": "046304003",
            "telephone_number": "207-255-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN ST STE 5",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "046541165",
            "telephone_number": "207-255-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESPECTFUL LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "MERTINKE",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-255-4833",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC2367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jill Mertinke, LCPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Machias, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.