Katherine Martin Lawrence, LCPC
Individual provider Active NPI Mental Health Counselor · Pownal, ME
NPI 1861721185 · NPPES record last updated Nov 26, 2012
Key facts
- NPI
- 1861721185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CC3871 (ME)
- Practice address
- 209 Chadsey Rd
Pownal, ME 04069-6054 - Phone
- (207) 688-4494
- Fax
- (207) 688-6515
- NPI assigned
- Dec 15, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC3871 | ME | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crain & Lawrence P.a. | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC3871 | ME | Yes |
Addresses
Primary practice location
209 Chadsey Rd
Pownal, ME 04069-6054
Mailing address
209 Chadsey Rd
Pownal, ME 04069-6054
Phone (207) 688-4494
Other providers in Pownal, ME
- Lesli A Chambers
- Mary Clare Clifford
- Crain & Lawrence P.a.
- Max Louison-Semrow LCSW, LLC
- Darcee Lynn Pantaz
- Portland Community Health Center
- Pownal Elementary School
- Tamarack Therapy Services LLC
All providers in Pownal, ME · Mental Health Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.