Active NPI
Kathleen Waldron Hayward, LCPC-C
- Professional Counselor
- Portland, ME
National Provider Identifier
1831445923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- XL3991
- Practice address
- 222 Saint John St Ste 141
Portland, ME 04102-3055 - Phone
- (207) 373-8929
- NPI assigned
- Jul 26, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | XL3991 | ME | Primary |
Addresses
Primary practice location
222 Saint John St Ste 141
Portland, ME 04102-3055
Mailing address
222 Saint John St Ste 141
Portland, ME 04102-3055
Phone (207) 400-7667
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 |
|---|---|---|---|
| XL3991 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1831445923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 SAINT JOHN ST STE 141",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023055",
"telephone_number": "207-400-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 SAINT JOHN ST STE 141",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023055",
"telephone_number": "207-373-8929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYWARD",
"first_name": "KATHLEEN",
"middle_name": "WALDRON",
"name_prefix": "Ms.",
"credential": "LCPC-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-26",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL3991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.