Teresa Lynne King, LCPC

Key facts

NPI

1992893564

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

CC658 (ME)

Practice address

9 Kimball Road
Mount Desert Medical Center
Northeast Harbor, ME 04662

Phone

(207) 276-4266

Fax

(207) 276-4119

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

Yes

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.

• Sweetser Mental Health Clinic/Center (Including Community Mental Health Center) · Saco, ME · NPI 1538122445
  Medicare reassignment Care Compare group NPD ME

Medicare Care Compare profile

Specialty

Mental Health Counselor

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sweetser (138 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

Other names

• Teresa L. King Professional name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 26, 2023.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1992893564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 953",
            "city": "NORTHEAST HARBOR",
            "state": "ME",
            "postal_code": "046620953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 KIMBALL ROAD",
            "address_2": "MOUNT DESERT MEDICAL CENTER",
            "city": "NORTHEAST HARBOR",
            "state": "ME",
            "postal_code": "04662",
            "telephone_number": "207-276-4266",
            "fax_number": "207-276-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TERESA",
        "middle_name": "LYNNE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "KING",
            "middle_name": "L.",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Northeast Harbor, ME

• Clarke William Baxter, M.D.
• Martha Lynn Bucklin, LCSW
• Sandra Graves, LCPC
• Irene Greene Murphy, LCSW,LADC
• Julie Anne Havener, C.P.M.
• Cecelia Mailhot, FNP-C
• Mount Desert Nursing Association
• Debra A Neale, CPT
• Northeast Harbor Ambulance Service, Inc.
• Town of Mount Desert

All providers in Northeast Harbor, ME · Mental Health Counselor in Maine