Organization Active NPI

KMR Counseling, Inc

  • Clinical Social Worker
  • Lewiston, ME
National Provider Identifier
1861664922
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC10066 Issued in ME
Legal business name
KMR COUNSELING, INC
Practice address
1008 Lisbon St
Lewiston, ME 04240-5721
Phone
(207) 784-1480
Fax
(207) 753-0323
NPI assigned
Mar 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mrs. Murielle M. Guay, LCSWNPI 1427135961
Title
President of Corporation
Phone
(207) 784-1480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LC10066 ME Primary

Addresses

Primary practice location

1008 Lisbon St
Lewiston, ME 04240-5721

Mailing address

1008 Lisbon St
Lewiston, ME 04240-5721
Phone (207) 784-1480

Other identifiers 3

IdentifierTypeStateIssuer
200620OtherMEANTHEM INS.
132060101OtherMEMAINE CARE
9738122OtherMEAETNA INS.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1861664922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405721",
            "telephone_number": "207-784-1480",
            "fax_number": "207-753-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 LISBON ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042405721",
            "telephone_number": "207-784-1480",
            "fax_number": "207-753-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMR COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-29",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "GUAY",
        "authorized_official_first_name": "MURIELLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "207-784-1480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INS.",
            "identifier": "200620",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE CARE",
            "identifier": "132060101",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS.",
            "identifier": "9738122",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.