Active NPI
Karen Denise Stange, LCPC
- Professional Counselor
- Bangor, ME
National Provider Identifier
1962715482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC3663
- Practice address
- 265 Hammond St
Bangor, ME 04401-4610 - Phone
- (207) 942-5055
- Fax
- (207) 942-7013
- NPI assigned
- Jul 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 62898 | DC | |
| Mental Health Counselor | 101YM0800X | MH7173 | FL | |
| Professional Counselor | 101YP2500X | CC3663 | ME | Primary |
| Marriage & Family Therapist | 106H00000X | MT2435 | FL |
Addresses
Primary practice location
265 Hammond St
Bangor, ME 04401-4610
Mailing address
PO Box 1237
Bangor, ME 04402-1237
Phone (207) 942-5055
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62898 | DC | MD | Counselor |
| MH7173 | FL | MD | Mental Health Counselor |
| CC3663 | ME | MD | Professional Counselor |
| MT2435 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Wellness Center, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1962715482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1237",
"city": "BANGOR",
"state": "ME",
"postal_code": "044021237",
"telephone_number": "207-942-5055",
"fax_number": "207-942-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 HAMMOND ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044014610",
"telephone_number": "207-942-5055",
"fax_number": "207-942-7013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGE",
"first_name": "KAREN",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "DC",
"license": "62898",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7173",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "CC3663",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT2435",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.