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MARK D. KMEN LCSW
NPI 1265647465
Social Worker - Clinical in Waterville, ME

Active since May 11, 2007PECOS Enrolled
2 BIG SKY LN, WATERVILLE, ME 04901(800) 434-3000 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark D. Kmen Lcsw NPPES

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

MARK D. KMEN LCSW (NPI 1265647465) is an individual clinical provider in Waterville, Maine, licensed in Maine (LC7222) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265647465
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARK D. KMENCredential: LCSW
Location Address2 BIG SKY LNWaterville, ME 04901-4340
Mailing Address2 Big Sky LnWaterville, ME 04901-4340
Phone(800) 434-3000
Sole ProprietorNo
Enumeration DateMay 11, 2007
Last NPPES UpdateMarch 20, 2019
✔ NPI 1265647465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ME · LC7222
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.
2 BIG SKY LN, Waterville, ME 04901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark D. Kmen Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Kmen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Psych Maine LLC
Same address
Health Service
2 BIG SKY LN
Waterville, ME 04901
  • Reassigned Medicare billing, Maine enrollment
  • 11 clinicians in this Medicare group
NPI 1881231553 (207) 872-5800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

DR. CHRISTINA MARIE FASSE PSY.D.
Psychologist
2 BIG SKY LN
WATERVILLE, ME 04901
Kennebec County (207) 872-5800
HEALTH PSYCH MAINE, LLC
Psychologist (Health Service)
2 BIG SKY LN
WATERVILLE, ME 04901
Kennebec County (207) 872-5800
DR. PETER C GLEASON PH.D.
Psychologist (Clinical)
2 BIG SKY LN
WATERVILLE, ME 04901
Kennebec County (207) 872-5800
HEALTH PSYCH MAINE LLC
Psychologist (Health Service)
2 BIG SKY LN
WATERVILLE, ME 04901
Kennebec County (207) 872-5800
JONATHAN M BORKUM PHD
Psychologist (Health Service)
2 BIG SKY LN
WATERVILLE, ME 04901
Kennebec County (207) 872-5800
DR. LAURA A FOSTER PH.D.
Psychologist (Clinical)
2 BIG SKY LN
WATERVILLE, ME 04901
Kennebec County (207) 872-5800

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 Mark Kmen's NPI number?

The NPI number for Mark Kmen is 1265647465. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Mark Kmen located?

Mark Kmen practices at 2 Big Sky Ln, Waterville, ME 04901. The listed phone number is (800) 434-3000.

What is Mark Kmen's specialty?

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

Is Mark Kmen enrolled in Medicare?

Yes. Mark Kmen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Kmen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Kmen reassigns Medicare benefits to Health Psych Maine LLC (Waterville, ME). The 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 Mark Kmen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Kmen accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mark Kmen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Kmen was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.