BRACAL KILIAN (NPI# 1134693807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134693807 |
| Entity Type | Individual |
| Full Name | BRACAL KILIAN |
| Credential | LCPC |
| Practice Address |
128 Sweden St Ste 1 Caribou ME 04736-2071 |
| Mailing Address |
41 Johnson Rd New Sweden ME 04762-3504 |
| Practice Telephone | 2079991267 |
| Mailing Telephone | 9079576533 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC5174 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MAINE LICENSING BOARD | CC5174 | 01 |
| AK | LPC | 129186 | 01 |
| Street Address |
128 SWEDEN ST STE 1 |
| City | CARIBOU |
| State | ME |
| Zip Code | 04736-2071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144691544 | Anne Kane | Counselor | 128 Sweden St Ste 1, Caribou, ME 04736-2071 | 2015-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849998 | Eastern Aroostook Regional School | Local Education Agency (LEA) | 75 Glenn St, Caribou, ME 04736 | 2009-10-28 |
| 1992933675 | Philip St. Peter | In Home Supportive Care | 77 Grimes Rd, Caribou, ME 04736 | 2009-07-01 |
| 1063646982 | Cheri Melody Hayes | Occupational Therapist | 50 Page Ave, Caribou, ME 04736 | 2009-05-06 |
| 1003059189 | Maureen N. Murchison | Rehabilitation Counselor | 159 Bennett Dr Ste 201, Caribou, ME 04736 | 2009-04-20 |
| 1083864441 | Amy L. Deprey | Counselor | 43 Hatch Dr Ste 210, Caribou, ME 04736 | 2008-09-23 |
| 1043467079 | Julie M Bouchard | Physical Therapist | 118 Bennett Dr Ste 140, Caribou, ME 04736 | 2008-08-21 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1851512024 | Lisa Brigitte Deschenes | Physical Therapist | 10 Bernadette Street, Caribou, ME 04736 | 2007-05-02 |
| Find all providers in zip 04736 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093973398 | Brenda R. Goodine | Counselor | 43 Vickers Dr, Caribou, ME 04736-3884 | 2008-05-23 |
| 1922454644 | Erin J Madore | Counselor | 43 Hatch Dr, Caribou, ME 04736-2161 | 2016-05-12 |
| 1285003723 | Merriann Merriman | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2015-09-15 |
| 1588040406 | April Flagg | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2015-08-03 |
| 1154708048 | Kathleen R Poitras | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2015-04-30 |
| 1821497488 | Steve Babin | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2014-08-20 |
| 1538579057 | Shanon Hafford | Counselor | 24 Sweden St, Caribou, ME 04736-2127 | 2014-05-06 |
| 1275956211 | Mark Smith | Counselor | 43 Hatch Dr, Suite 210, Caribou, ME 04736-2161 | 2014-01-28 |
| 1912335902 | Ashley Willey | Counselor | 43 Hatch Dr, Suite210, Caribou, ME 04736-2161 | 2013-10-29 |
| 1659705598 | Bethany Amanda Phinney | Counselor | 24 Sweden St, Suite 201, Caribou, ME 04736-2127 | 2013-08-28 |
| Find all providers in CARIBOU | ||||
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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.