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SOUTHERN MAINE PSYCHOTHERAPY LLC
NPI 1164299194
Social Worker - Clinical in Scarborough, ME

Active since December 11, 2023
20 MUSSEY RD, SCARBOROUGH, ME 04074(207) 200-5621 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2025, Dec 11, 2023 (2 updates tracked since 2023).

About Southern Maine Psychotherapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN MAINE PSYCHOTHERAPY LLC (NPI 1164299194) is a healthcare organization registered as a clinical in Scarborough, Maine and active in the NPI registry since December 2023. The organization lists Michael Johnston, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1164299194
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameSOUTHERN MAINE PSYCHOTHERAPY LLC
Location Address20 MUSSEY RDScarborough, ME 04074-9570
Mailing Address20 Mussey RdScarborough, ME 04074-9570 · (207) 200-5621
Phone(207) 200-5621
Organization SubpartNo
Authorized OfficialMichael JohnstonProvider/owner · (207) 200-5621
Enumeration DateDecember 11, 2023
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1164299194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
20 MUSSEY RD, Scarborough, ME 04074
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Maine Psychotherapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Maine Psychotherapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Johnston, LCSW
Clinical Social Worker
NPI 1194374355
20 MUSSEY RD
Scarborough, ME 04074
(207) 838-0512
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Maine Psychotherapy LLC's NPI number?

The NPI number for Southern Maine Psychotherapy LLC is 1164299194. It was assigned to this organization in the NPPES registry on December 11, 2023.

Where is Southern Maine Psychotherapy LLC located?

Southern Maine Psychotherapy LLC is located at 20 Mussey Rd, Scarborough, ME 04074. The listed phone number is (207) 200-5621.

What is Southern Maine Psychotherapy LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Southern Maine Psychotherapy LLC enrolled in Medicare?

Yes. Southern Maine Psychotherapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Maine Psychotherapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Southern Maine Psychotherapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Maine Psychotherapy LLC was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.