Active NPI
Caitlin Kadnar, LCPC, NCC
- Mental Health Counselor
- South Portland, ME
National Provider Identifier
1972925717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC5061
- Practice address
- 100 Brickhill Ave Ste 304
South Portland, ME 04106-1999 - Phone
- (207) 761-4700
- NPI assigned
- Jan 14, 2014
- Last updated
- Jan 9, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | XL4405 | ME | |
| Mental Health Counselor | 101YM0800X | CC5061 | ME | Primary |
Addresses
Primary practice location
100 Brickhill Ave Ste 304
South Portland, ME 04106-1999
Mailing address
100 Brickhill Ave Ste 304
South Portland, ME 04106-1999
Phone (207) 761-4700
Other practice location 1
180 Main St
Waterville, ME 04901-6666
Phone (207) 872-5300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XL4405 | ME | MD | Counselor |
| CC5061 | ME | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients |
Locations
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
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": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1972925717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BRICKHILL AVE STE 304",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061999",
"telephone_number": "207-761-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BRICKHILL AVE STE 304",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061999",
"telephone_number": "207-761-4700"
}
],
"practiceLocations": [
{
"address_1": "180 Main St",
"address_purpose": "LOCATION",
"city": "Waterville",
"state": "ME",
"postal_code": "049016666",
"country_code": "US",
"telephone_number": "207-872-5300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KADNAR",
"first_name": "CAITLIN",
"credential": "LCPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-14",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "ME",
"license": "XL4405",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "ME",
"license": "CC5061",
"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 Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.