KINDRA THRELKELD BERNARD LCPC
NPI 1619080132
Counselor - Professional in Portland, ME
About Kindra Threlkeld Bernard Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KINDRA THRELKELD BERNARD LCPC (NPI 1619080132) is an individual professional provider in Portland, Maine, licensed in Maine (CC3547) and active in the NPI registry since August 2006. She has opted out of Medicare through November 8, 2026.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kindra Threlkeld Bernard Lcpc 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 November 8, 2024 through November 8, 2026.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kindra Bernard's NPI number?
The NPI number for Kindra Bernard is 1619080132. It was assigned to this individual provider in the NPPES registry on August 17, 2006.
Where is Kindra Bernard located?
Kindra Bernard practices at 200 High St Suite 2C, Portland, ME 04101. The listed phone number is (207) 251-5359.
What is Kindra Bernard's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kindra Bernard enrolled in Medicare?
No. Kindra Bernard has opted out of Medicare through November 8, 2026. 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 Kindra Bernard was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kindra Threlkeld Bernard, LCPC · NPI 1619080132
Professional provider in Portland, Maine. Individual provider, active in the CMS NPPES registry since August 17, 2006.
## Identity
- **NPI:** 1619080132 (Entity type: Individual)
- **Enumerated:** August 17, 2006
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC3547 (Maine)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 HIGH ST, SUITE 2C, Portland, ME 04101-2831
- **Phone:** (207) 251-5359
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 8, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** October 25, 2011
- **Other identifiers:** Medicaid 432160299 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1619080132) · Data from the CMS NPPES public registry.