JEREMIAH KEMBERLING (NPI# 1730663402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730663402 |
| Entity Type | Individual |
| Full Name | JEREMIAH KEMBERLING |
| Practice Address |
710 Bucksport Rd Ellsworth ME 04605-2722 |
| Practice Telephone | 2076676890 |
| Practice Fax Number | 2076676457 |
| Mailing Telephone | 2076676890 |
| Mailing Fax Number | 2076676457 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
710 BUCKSPORT RD |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780776179 | David M Harlan | Social Worker | 710 Bucksport Rd, Ellsworth, ME 04605 | 2006-09-29 |
| 1982204798 | Rachel Mcmullen | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2020-10-30 |
| 1629612577 | Alison L Cote | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2019-11-04 |
| 1922659788 | Christine Bagley | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2019-09-24 |
| 1356990733 | Julia Bentley | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2019-09-09 |
| 1679129290 | Nya Riddle | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2019-08-12 |
| 1053886564 | Amelia Forman-stiles | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2018-10-11 |
| 1275019853 | Travon M Wilcher | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2018-07-17 |
| 1649788464 | Hailee A Langley | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2018-01-15 |
| 1962916486 | Chelsea Brown | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2017-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356688790 | Lisa Tobey Groo | Counselor | 406 State St Ste 2, Ellsworth, ME 04605-3331 | 2013-01-04 |
| 1326198870 | Joyce Caryn Barker | Counselor | 412 West Kinne Street, Ellsworth, WI 54011-0670 | 2007-01-10 |
| 1982204798 | Rachel Mcmullen | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2020-10-30 |
| 1629612577 | Alison L Cote | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2019-11-04 |
| 1922659788 | Christine Bagley | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2019-09-24 |
| 1356990733 | Julia Bentley | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2019-09-09 |
| 1679129290 | Nya Riddle | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2019-08-12 |
| 1053886564 | Amelia Forman-stiles | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2018-10-11 |
| 1275019853 | Travon M Wilcher | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2018-07-17 |
| 1649788464 | Hailee A Langley | Counselor | 710 Bucksport Rd, Ellsworth, ME 04605-2722 | 2018-01-15 |
| Find all providers in ELLSWORTH | ||||
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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.