Active NPI
KMR Counseling, Inc
- Clinical Social Worker
- Lewiston, ME
National Provider Identifier
1861664922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC10066
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Murielle M. Guay, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200620 | Other | ME | ANTHEM INS. |
| 132060101 | Other | ME | MAINE CARE |
| 9738122 | Other | ME | AETNA INS. |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lewiston, ME
- NPI 1427135961
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.