Active NPI
Susan Jane Maxwell, PASTORAL COUNSELOR
- Pastoral Counselor
- Whiting, ME
National Provider Identifier
1831965078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- XP6516
- Practice address
- 36 US Route 1
Whiting, ME 04691-0469 - Phone
- (207) 263-5042
- NPI assigned
- Nov 29, 2023
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | XP6516 | ME | Primary |
Addresses
Primary practice location
36 US Route 1
Whiting, ME 04691-0469
Mailing address
PO Box 13
Whiting, ME 04691-0013
Phone (207) 263-5042
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 |
|---|---|---|---|
| XP6516 | ME | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1831965078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13",
"city": "WHITING",
"state": "ME",
"postal_code": "046910013",
"telephone_number": "207-263-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 US ROUTE 1",
"city": "WHITING",
"state": "ME",
"postal_code": "046910469",
"telephone_number": "207-263-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXWELL",
"first_name": "SUSAN",
"middle_name": "JANE",
"credential": "PASTORAL COUNSELOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "ME",
"license": "XP6516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiting, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.