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MS. CHERIE GUSTAFSON M.A.
NPI 1306889530
Counselor - Mental Health in South Portland, ME

Active since June 14, 2006Opted out of Medicare · through Jan 4, 2028
505R OCEAN ST, SOUTH PORTLAND, ME 04106(207) 808-9820 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2021, Sep 24, 2019, Sep 16, 2019 (3 updates tracked since 2019).

About Ms. Cherie Gustafson M.a. NPPES

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

MS. CHERIE GUSTAFSON M.A. (NPI 1306889530) is an individual mental health provider in South Portland, Maine, licensed in Maine (CC1639) and active in the NPI registry since June 2006. She has opted out of Medicare through January 4, 2028 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306889530
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CHERIE GUSTAFSONCredential: M.A.
Location Address505R OCEAN STSouth Portland, ME 04106-6615
Mailing Address50 Market Street, Suite 1a Box 212South Portland, ME 04106-3646 · (207) 808-9820
Phone(207) 808-9820
Sole ProprietorYes
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 24, 20223 updates tracked since enumeration
NPPES CertifiedJune 24, 2022
✔ NPI 1306889530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ME · CC1639
505R OCEAN ST, South Portland, ME 04106
Open in Google Maps ↗

Secondary Practice Locations 2

Location 195 High St Ste 307Portland, ME 04101-3820 · Phone (207) 808-8920
Location 225 Jewett RdCape Elizabeth, ME 04107-2428 · Phone (207) 808-9820

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Cherie Gustafson M.a. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

NEW ENGLAND INSIGHT COUNSELING, LLC
Social Worker (Clinical)
505R OCEAN ST
SOUTH PORTLAND, ME 04106
Cumberland County (207) 239-2419

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 Cherie Gustafson's NPI number?

The NPI number for Cherie Gustafson is 1306889530. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Cherie Gustafson located?

Cherie Gustafson practices at 505R Ocean St, South Portland, ME 04106. The listed phone number is (207) 808-9820.

What is Cherie Gustafson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Cherie Gustafson enrolled in Medicare?

No. Cherie Gustafson has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Cherie Gustafson was last updated on June 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.