KEITH A WENTZEL (NPI# 1881986388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881986388 |
| Entity Type | Individual |
| Full Name | KEITH A WENTZEL |
| Practice Address |
79 Main St Auburn ME 04210-5811 |
| Mailing Address |
5 Dana Ave Auburn ME 04210-5834 |
| Practice Telephone | 2073647981 |
| Practice Fax Number | 8777896905 |
| Mailing Telephone | 2072406972 |
| Mailing Fax Number | 8777896905 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2017-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CC4458 | ME | Behavioral Health & Social Service Providers |
| Street Address |
79 MAIN ST |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-5811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316414204 | Better Me Nutrition Counseling LLC | Dietitian, Registered | 79 Main St, Auburn, ME 04210-5811 | 2018-10-29 |
| 1871956383 | Dawn Herrick Counseling | Counselor | 79 Main St, Auburn, ME 04210-5811 | 2016-04-01 |
| 1538402136 | Robert L Descoteaux Jr. | Counselor | 79 Main St, Auburn, ME 04210-5811 | 2013-04-02 |
| 1821358128 | Great Falls Recovery / Counseling | Community/Behavioral Health | 79 Main St, Suite # 108, Auburn, ME 04210-5811 | 2012-05-21 |
| 1124391529 | Agnes Doris Mcnally | Counselor | 79 Main St, Auburn, ME 04210-5811 | 2012-02-15 |
| 1497066716 | Sare Gebhardt | Counselor | 79 Main St, Auburn, ME 04210-5811 | 2010-07-01 |
| 1043530066 | Rhonda N Hughes | Social Worker | 79 Main St, Suite 2a, Auburn, ME 04210-5811 | 2010-06-02 |
| 1780818864 | Community Concepts Inc | Non-emergency Medical Transport (VAN) | 79 Main St, Auburn, ME 04210-5811 | 2009-05-05 |
| 1356467633 | Patricia Julian | Counselor | 79 Main St, Auburn, ME 04210-5811 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552864 | Nicole Beth Williams | Counselor | 701 High St Ste 205, Auburn, CA 95603-4734 | 2020-06-09 |
| 1801432547 | Cynthia Karen Bowman | Counselor | 240 Ginger Dr, Auburn, CA 95603-5714 | 2019-11-18 |
| 1477197432 | Monica R Molt | Counselor | 166 N Gay St Ste 21, Auburn, AL 36830-2004 | 2019-11-03 |
| 1902454291 | Sherry Monteith | Counselor | 178 Court St, Auburn, ME 04210-6917 | 2019-08-29 |
| 1861976813 | Joanna Hardman Treadwell | Counselor | 923 Stage Rd Ste M, Auburn, AL 36830-5157 | 2018-09-15 |
| 1851877963 | Morgan Jenkins | Counselor | 318 N College St Ste C, Auburn, AL 36830-3815 | 2018-07-12 |
| 1023594207 | Cynthia Caroline Williams | Counselor | 48 Sword St Ste 101, Auburn, MA 01501-2162 | 2018-07-11 |
| 1376032730 | Cindra Ann Jones | Counselor | 230 Auburn Way S Ste 1&2b, Auburn, WA 98002-5451 | 2018-05-01 |
| 1720585557 | Albert Walter Thomas | Counselor | 355 N College St, Auburn, AL 36830-3814 | 2018-04-09 |
| 1558874222 | Laura Dawn Logan | Counselor | 145 Fulweiler Ave Ste 200, Auburn, CA 95603-4536 | 2017-11-15 |
| Find all providers in AUBURN | ||||
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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.