Active NPI
Deborah Ann Knighton Tallarico, M.A., LCPC
- Professional Counselor
- South Portland, ME
National Provider Identifier
1902094345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC2680
- Practice address
- 884 Broadway
South Portland, ME 04106-4371 - Phone
- (207) 653-7823
- NPI assigned
- Oct 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC2680 | ME | Primary |
Addresses
Primary practice location
884 Broadway
South Portland, ME 04106-4371
Mailing address
83 Sawyer Rd
Scarborough, ME 04074-9143
Phone (207) 653-7823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC2680 | ME | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1902094345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 SAWYER RD",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749143",
"telephone_number": "207-653-7823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "884 BROADWAY",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041064371",
"telephone_number": "207-653-7823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALLARICO",
"first_name": "DEBORAH",
"middle_name": "ANN KNIGHTON",
"name_prefix": "Mrs.",
"credential": "M.A., LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC2680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.