Mea Kathrine Merrill, LMSW-CC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MC19790 Issued in ME

Practice address

491 US Route 1 Ste 23
Freeport, ME 04032-7022

Phone

(207) 894-8104

Fax

(207) 544-5070

NPI assigned

Aug 27, 2024

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 names 1

• Mea Kathrine Richmond Former name

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Partnership for Trauma RecoveryGroup PAC ID 8426336850, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Partnership for Trauma Recovery

  • Professional Counselor
  • Freeport, ME
  • NPI 1518331032
  Medicare reassignment Care Compare group NPD
• Robert Cameron LCSW, LLC

  • Mental Health Counselor
  • Freeport, ME
  • NPI 1871375113
  NPD

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1861226599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 US ROUTE 1 STE 23",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327022",
            "telephone_number": "207-894-8104",
            "fax_number": "207-544-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 US ROUTE 1 STE 23",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040327022",
            "telephone_number": "207-894-8104",
            "fax_number": "207-544-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "MEA",
        "middle_name": "KATHRINE",
        "name_prefix": "Mrs.",
        "credential": "LMSW-CC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ME",
            "license": "MC19790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEA",
            "last_name": "RICHMOND",
            "middle_name": "KATHRINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Maslowski
• Katharine Humaira Ruth McConnell, LMSW-CC
• Jessica Benton McCurdy, M.A.
• Armel Mendoza, PT
• Paul Jerome Mentag
• Mindful Integrative Therapy, LLC
• Peggy A Moore, LCPCC
• Robert Seaborn Moore, LCSW
• Kathryn Lynn Morrison, P.T.
• Jodee Lyn Mosher, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.