Active NPI
Kierstin Oliver
- Counselor
- South Portland, ME
National Provider Identifier
1821532086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- XL4821
- Practice address
- 525 Main St
South Portland, ME 04106-5457 - Phone
- (207) 874-1045
- Fax
- (207) 767-0995
- NPI assigned
- Dec 7, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | XL4821 | ME | Primary |
Addresses
Primary practice location
525 Main St
South Portland, ME 04106-5457
Mailing address
525 Main St
South Portland, ME 04106-5457
Phone (207) 874-1045
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 |
|---|---|---|---|
| XL4821 | ME | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day One | Counselor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482192000000",
"number": "1821532086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 MAIN ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065457",
"telephone_number": "207-874-1045",
"fax_number": "207-767-0995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 MAIN ST",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041065457",
"telephone_number": "207-874-1045",
"fax_number": "207-767-0995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "KIERSTIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-07",
"last_updated": "2016-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "XL4821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
- Oasis Support Services LLC
- Naomi Obenhaus
- Christine Chaires Oberink, LCSW
- Occupational Health Centers of the Southwest P.a.
- Occupational Health Centers of the Southwest PA
- Jonathan Frank Olmes, OD
- Kenneth Olson, LCPC
- Jaymie Elisabeth Oppenheim, LCSW
- Optivacare LLC
- Oral & Maxillofacial Surgery Associates PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.