KIMBERLY CHABOT (NPI# 1043506538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043506538 |
| Entity Type | Individual |
| Full Name | KIMBERLY CHABOT |
| Credential | LCPC |
| Practice Address |
11 Port Dr Freeport ME 04032-6030 |
| Practice Telephone | 2078295099 |
| Mailing Telephone | 2078295099 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CC3785 | ME | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
CC3785 | ME | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC3785 | ME | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | CC3785 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | NCC | 30989 | 01 |
| ME | LCPC | CC3785 | 01 |
| Street Address |
11 PORT DR |
| City | FREEPORT |
| State | ME |
| Zip Code | 04032-6030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355920 | Joyce Mary Nadeau | Psychologist | 4 Picnic Hill Rd, Freeport, ME 04032 | 2019-03-18 |
| 1689157729 | Tim Spaulding | Occupational Therapist | Hawthorne House, 6 Old County Rd, Freeport, ME 04032 | 2018-09-14 |
| 1538698212 | Travis Jeffery Bouchard | Surgery | 601 E. Hampden Ave., #220, Englewood, CA 04032 | 2017-06-07 |
| 1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
| 1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
| 1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
| 1043435928 | Meredith Wall | Physician Assistant | 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 | 2007-04-16 |
| 1437212990 | Phoebe Snovek Prosky | Social Worker | 143 Flying Point Rd, Freeport, ME 04032 | 2006-12-18 |
| 1801955364 | Kenneth Eugene Koenke | Dentist | 37 Bow St, Freeport, ME 04032 | 2006-12-08 |
| 1497851885 | Kathleen Ellen Sullivan | Social Worker | 16 Lincoln St., Suite C, Brunswick, ME 04032 | 2006-09-15 |
| Find all providers in zip 04032 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548645161 | Reed Anne Kelly Fahlgren | Counselor | 14 Griffin Rd, Freeport, ME 04032-6800 | 2015-07-24 |
| 1689011264 | Maureen Elizabeth Lagrua | Counselor | 71 S Freeport Rd, Freeport, ME 04032-6102 | 2013-05-23 |
| 1679815070 | Angela Gibbone | Counselor | 416 Archer St, Freeport, NY 11520-4803 | 2013-03-23 |
| 1730406158 | Judy Patricia Colesbailey | Counselor | 56 Delaware Ave, Freeport, NY 11520-2028 | 2010-04-24 |
| 1003040783 | Aram Aslanian | Counselor | 42 Mallett Dr Ste 1, Freeport, ME 04032-1355 | 2009-05-08 |
| 1932328481 | Carollyn F Mckinstry | Counselor | 773 W Lincoln St Ste 201a, Freeport, IL 61032-4978 | 2007-04-24 |
| 1225111586 | Kings Daugthers Childrens Home | Counselor | 34 N Whistler Ave, Freeport, IL 61032-4069 | 2006-10-23 |
| 1144323544 | Sandra D Geiseman | Counselor | 773 W Lincoln Blvd Ste 201c, Freeport, IL 61032-4978 | 2006-09-07 |
| 1326590241 | Nikara Peters | Counselor | 421 W Exchange St, Freeport, IL 61032 | 2016-10-26 |
| 1790165389 | Carollyn Mckinstry | Counselor | 773 W Lincoln St, Suite 201a, Freeport, IL 61032-4976 | 2015-06-09 |
| Find all providers in FREEPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.