Individual provider Active NPI

Theresa Stockhausen-Gauthier, M.S. AUDIOLOGIST

  • Audiologist
  • Windham, ME
National Provider Identifier
1972523280
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AP1101 Issued in ME
Practice address
944 Roosevelt TRL Ste 12
Windham, ME 04062-5699
Phone
(207) 893-2930
Fax
(207) 893-2939
NPI assigned
Jul 20, 2006
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AP1101 ME Primary

Addresses

Primary practice location

944 Roosevelt TRL Ste 12
Windham, ME 04062-5699

Mailing address

944 Roosevelt TRL Ste 12
Windham, ME 04062-5699
Phone (207) 893-2930

Other practice location 1

477 Wilton Rd
Farmington, ME 04938-6125
Phone (207) 893-2930

Other practice location 2

152 US Route 1 Ste 14
Scarborough, ME 04074-8367
Phone (207) 893-2930

Other practice location 3

202 Maple St Ste D
Cornish, ME 04020-3149
Phone (207) 893-2930

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AP1101MEMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Tena Group, LLC Audiologist PastSince Jun 23, 2015 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1972523280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 ROOSEVELT TRL STE 12",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625699",
            "telephone_number": "207-893-2930",
            "fax_number": "207-893-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 ROOSEVELT TRL STE 12",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625699",
            "telephone_number": "207-893-2930",
            "fax_number": "207-893-2939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "477 Wilton Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "ME",
            "postal_code": "049386125",
            "country_code": "US",
            "telephone_number": "207-893-2930",
            "fax_number": "207-893-2939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "152 US Route 1 Ste 14",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040748367",
            "country_code": "US",
            "telephone_number": "207-893-2930",
            "fax_number": "207-893-2939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Maple St Ste D",
            "address_purpose": "LOCATION",
            "city": "Cornish",
            "state": "ME",
            "postal_code": "040203149",
            "country_code": "US",
            "telephone_number": "207-893-2930",
            "fax_number": "207-893-2939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOCKHAUSEN-GAUTHIER",
        "first_name": "THERESA",
        "credential": "M.S. AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ME",
            "license": "AP1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

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

Verify at the official NPI Registry.