KENNEBEC COUNSELING SERVICES LLC
NPI 1679337786
Community/Behavioral Health in Fayette, ME

Active since February 08, 2024
204 SHORE RD, FAYETTE, ME 04349(207) 489-4675(207) 466-8507 Get Directions Write a Review

NPPES record last updated: February 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kennebec Counseling Services Llc NPPES

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

KENNEBEC COUNSELING SERVICES LLC (NPI 1679337786) is a healthcare organization registered as a community/behavioral health in Fayette, Maine and active in the NPI registry since February 2024. The organization lists Emily Stultz, Owner, as its authorized official.

NPPES Registry Identity

NPI1679337786
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameKENNEBEC COUNSELING SERVICES LLC
Location Address204 SHORE RDFayette, ME 04349-3238
Mailing Address204 Shore RdFayette, ME 04349-3238 · (207) 489-4675 · Fax (207) 466-8507
Fax(207) 466-8507
Organization SubpartNo
Authorized OfficialEmily StultzOwner · (207) 861-1690
Enumeration DateFebruary 8, 2024
NPPES CertifiedFebruary 8, 2024
✔ NPI 1679337786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
204 SHORE RD, Fayette, ME 04349

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennebec Counseling Services 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 Kennebec Counseling Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1992337737
204 SHORE RD
Fayette, ME 04349
(207) 861-1690
✔ PECOSSame 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 Kennebec Counseling Services LLC's NPI number?

The NPI number for Kennebec Counseling Services LLC is 1679337786. It was assigned to this organization in the NPPES registry on February 8, 2024.

Where is Kennebec Counseling Services LLC located?

Kennebec Counseling Services LLC is located at 204 Shore Rd, Fayette, ME 04349. The listed phone number is (207) 489-4675.

What is Kennebec Counseling Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Kennebec Counseling Services LLC enrolled in Medicare?

Yes. Kennebec Counseling Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kennebec Counseling Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kennebec Counseling Services 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 Kennebec Counseling Services LLC was last updated on February 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.