Krystle Maestas, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

17544 Issued in CA

Practice address

284 Cumberland Ave
Portland, ME 04101-4927

Phone

(207) 874-2141

NPI assigned

Jul 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: krystle.maestas.p1@direct.portlandchc.nextgenshare.com

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1952037327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 1/4 ALICE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900651729",
            "telephone_number": "323-774-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "284 CUMBERLAND AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014927",
            "telephone_number": "207-874-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "637 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "South Portland",
            "state": "ME",
            "postal_code": "041066425",
            "country_code": "US",
            "telephone_number": "207-874-2141",
            "fax_number": "207-874-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAESTAS",
        "first_name": "KRYSTLE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL6703",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "17544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF BEHAVORIAL SCIENCES",
            "identifier": "LPCC17544",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Z Macvane, MD
• Chloe Rose Maczuba
• Claudia Madden
• Lisa Madison, MA CCC/SLP
• Katherine Maehl, MD
• Maeve Grace Donnelly LLC
• Hannah Elizabeth Magee, LCSW
• Ariana Magliocco, LMSW/CC
• Ann K Magner, DO
• Elise C Magnuson, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; 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.