Kate Kelley

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC4117 Issued in ME

Practice address

186 Main St Ste 2
Farmington, ME 04938-1904

Phone

(207) 578-2219

Fax

(207) 778-4999

NPI assigned

Mar 31, 2011

Last updated

Mar 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Concepts Incorporated

  • Community/Behavioral Health Agency
  • Rumford, ME
  • NPI 1962591230
  NPD (past)
• Community Concepts, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Rumford, ME
  • NPI 1275774739
  NPD (past)

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1871882779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CONGRESS ST",
            "city": "RUMFORD",
            "state": "ME",
            "postal_code": "042762035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MAIN ST STE 2",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049381904",
            "telephone_number": "207-578-2219",
            "fax_number": "207-778-4999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Congress St",
            "address_purpose": "LOCATION",
            "city": "Rumford",
            "state": "ME",
            "postal_code": "042762035",
            "country_code": "US",
            "telephone_number": "207-364-3549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC4705",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL3710",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC4117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley K Joyce, PTA
• Danielle Karkos, LCPC
• Kathryn Dingley Gurney
• David B Kearing, M.D.
• Susan W Kearing, D.O.
• Marcia Kelson, RDH
• Byung J Kim, M.D.
• Maurice Everett Knapp, OD
• Karin Krzal, A.T.C., L.A.T.
• Larry B Labul, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.