MRS. KIMBERLY M POLAND LCPC
NPI 1245569250
Counselor - Professional in Portland, ME

Q: What is Kimberly Poland's NPI number?

The NPI number for Kimberly Poland is 1245569250. It was assigned to this individual provider in the NPPES registry on December 22, 2009. The provider is also known as Mrs. Kimberly M. Cornwall Lcpc.

Q: What is Kimberly Poland's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Poland was last updated on April 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 22, 2009PECOS EnrolledAccepts Medicare Assignment

165 LANCASTER ST, PORTLAND, ME 04101(207) 956-3258(207) 874-1044 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 21, 2021, Jun 22, 2016 (2 updates tracked since 2016).

On this page

About Mrs. Kimberly M Poland Lcpc NPPES

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

MRS. KIMBERLY M POLAND LCPC (NPI 1245569250) is an individual professional provider in Portland, Maine, licensed in Maine (CC3538) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1245569250

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. KIMBERLY M POLANDCredential: LCPC

Location Address165 LANCASTER STPortland, ME 04101-2406

Mailing Address78 Atlantic PlSouth Portland, ME 04106-2316 · (207) 661-6654 · Fax (207) 842-7773

Phone(207) 956-3258

Fax(207) 874-1044

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateDecember 22, 2009

Last NPPES UpdateApril 21, 20212 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1245569250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ME · CC3538

165 LANCASTER ST, Portland, ME 04101

Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Kimberly M. Cornwall Lcpc

Secondary Practice Locations 2

Location 112 Westbrook CmnWestbrook, ME 04092-2819 · Phone (207) 856-1500 · Fax (207) 856-1518

Location 217 Palmer StWestbrook, ME 04092-2132 · Phone (207) 239-4485

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kimberly M Poland Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062948243

PECOS Enrollment IDI20241211002349

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERRY MORRELL LCSW

Social Worker (Clinical)