KATHRYN AUGUSTE MITCHELL (NPI# 1194254276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194254276 |
| Entity Type | Individual |
| Full Name | KATHRYN AUGUSTE MITCHELL |
| Credential | LCPC, CADC |
| Practice Address |
306 Shaker Rd Gray ME 04039-9674 |
| Mailing Address |
57 Vincent St South Portland ME 04106-3951 |
| Practice Telephone | 6036602369 |
| Mailing Telephone | 6036602369 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC5275 | ME | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 525 Main St, South Portland, ME 041065462 | (207) 874-1045 | 2077670995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548699879 | Kathryn Lynn Mitchell | Occupational Therapist | 6734 Lone Oak Blvd, Naples, FL 34109-6834 | 2013-11-07 |
| 1578997961 | Kathryn Ann Mitchell | Counselor | 24 Ben Franklin Dr, Franklin, NJ 07416-2154 | 2013-08-21 |
| 1780100859 | Kathryn Mitchell | Physical Medicine & Rehabilitation | 2854 John F Kennedy Blvd, Jersey City, NJ 07306-4014 | 2017-08-20 |
| 1730625807 | Kathryn Ann Mitchell | Physician Assistant | 19 Friendship St, Suite 130, Newport, RI 02840-2272 | 2017-01-13 |
| 1841741402 | Kathryn Mcmillan Mitchell | Nurse Practitioner | 6801 Airport Blvd, Mobile, AL 36608-3709 | 2016-10-19 |
| 1922459650 | Kathryn Corgan Mitchell | Physician Assistant | 101 W University Ave, Champaign, IL 61820 | 2016-06-23 |
| 1700233236 | Kathryn Mitchell | Pharmacist | 10 W Washington St, Nelsonville, OH 45764-1178 | 2016-05-13 |
| 1124254065 | Kathryn D Mitchell | Physical Therapist | 245 N 15th St # Ms 502, Room 940, Philadelphia, PA 19102-1101 | 2009-06-05 |
| 1336314277 | Kathryn M Mitchell | Counselor | 3765 S Higuera St Ste 100, San Luis Obispo, CA 93401-1577 | 2008-04-22 |
| 1205008380 | Kathryn Mitchell | Registered Nurse | 2868 Acton Rd, Birmingham, AL 35243-2502 | 2008-03-28 |
| Street Address |
306 SHAKER RD |
| City | GRAY |
| State | ME |
| Zip Code | 04039-9674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710116702 | Theresa Seward | Counselor | 306 Shaker Rd, Gray, ME 04039-9674 | 2009-07-10 |
| 1720527914 | Olivia Testa | Social Worker | 306 Shaker Rd, Gray, ME 04039-9674 | 2017-02-21 |
| 1396033510 | Asa Woodman | Marriage & Family Therapist | 306 Shaker Rd, Gray, ME 04039-9674 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1669864922 | Tabitha Leadbetter | Massage Therapist | 6 Main Street, Ste 6, Gray, ME 04039 | 2015-02-24 |
| 1326355033 | Jennifer Mccullum | Speech-Language Pathologist | 14 Shaker Road, Gray, ME 04039 | 2010-09-02 |
| 1891018149 | Kristen Curley | Mechanotherapist | 1 Gray Center, Suite# 6, Gray, ME 04039 | 2010-03-01 |
| 1528398104 | Beata Anna Wiktor | Psychologist | 6 Maine Street, Suite 1, Gray, ME 04039 | 2010-01-05 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| Find all providers in zip 04039 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710498662 | Stephen J Shaw | Counselor | 4266 W Main St Ste 200, Gray, LA 70359-6421 | 2017-10-18 |
| 1114445194 | Teri Lynn Chatagnier | Counselor | 307 Lola St, Gray, LA 70359-3017 | 2017-08-30 |
| 1710116702 | Theresa Seward | Counselor | 306 Shaker Rd, Gray, ME 04039-9674 | 2009-07-10 |
| 1407873375 | Jill Huckeba | Counselor | 1525 Monticello Hwy, Gray, GA 31032-3119 | 2006-07-16 |
| 1104391358 | Anika Keyes | Counselor | 4266 W Main St, Gray, LA 70359-6421 | 2018-10-03 |
| 1164654752 | Jennifer Strole | Counselor | 111 Dolly St, Gray, GA 31032-5307 | 2009-08-14 |
| 1720098478 | Mary Lou Mcmanus-richter | Counselor | 67 Shaker Rd, Gray, ME 04039-9640 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062271 | Megan Joanne Mitchell | Counselor | 471 Howe Hill Road, Greenwood, ME 04255 | 2020-10-30 |
| 1245862150 | Jing Ye | Counselor | 165 Captain John Parker Rd, Phippsburg, ME 04562-4546 | 2020-02-08 |
| 1336770726 | Holly Helena Carletti Alivizatos | Counselor | 43 Coach Lantern Ln W, Scarborough, ME 04074-8510 | 2020-02-04 |
| 1437780590 | Cheryl Bedan | Counselor | 300 Portland Rd Ste 1, Bridgton, ME 04009-4227 | 2020-01-28 |
| 1427694546 | Gerard Fitzgerald | Counselor | 303 Coopers Mills Rd, Windsor, ME 04363-3825 | 2019-11-24 |
| 1922658988 | Bailey G Knox | Counselor | 64 Lisbon St Ste 2, Lewiston, ME 04240-8064 | 2019-09-12 |
| 1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1609368877 | Laurie Mclean Reckendorf | Counselor | 16 Jamesey Court, Suite 100, New Harbor, ME 04554 | 2018-06-04 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| Find all providers with the same taxonomy | ||||
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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.