Jessica Whitten, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC3296 Issued in ME

Practice address

15 Main St
Ste 221
Freeport, ME 04032-1100

Phone

(207) 632-8024

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1851431720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 PARKER ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504033",
            "telephone_number": "978-225-2250",
            "fax_number": "978-225-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAIN ST",
            "address_2": "STE 221",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040321100",
            "telephone_number": "207-632-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTEN",
        "first_name": "JESSICA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC3296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTHCARE PROGRAM",
            "identifier": "1851431720",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1851431720",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "1851431720",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDNET",
            "identifier": "1851431720",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "1851421720",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Warren, NTP, RWP
• Corie Washow
• Tina Weaver, PT
• Well Woman Clinic, PLLC
• Joseph H Wetherhold, DMD
• Lorien Courtenay Snellings Whitten, LCPC
• Renee D. Williams, LCSW
• Katrina Wittine, M.S., BCBA
• Linda F Wolfe, FNP
• Krista Marie Wood, CCC-SLP

• Professional Counselor in Freeport, ME
• Providers in Freeport, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.