KELLY LYNN BUTLER M.A., LCPC, LADC
NPI 1699953885
Counselor - Mental Health in Portland, ME
About Kelly Lynn Butler M.a., Lcpc, Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY LYNN BUTLER M.A., LCPC, LADC (NPI 1699953885) is an individual mental health provider in Portland, Maine and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Lynn Butler M.a., Lcpc, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, ME 04101
- Reassigned Medicare billing, Maine enrollment
- 11 clinicians in this Medicare group
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 Kelly Butler's NPI number?
The NPI number for Kelly Butler is 1699953885. It was assigned to this individual provider in the NPPES registry on February 10, 2008.
Where is Kelly Butler located?
Kelly Butler practices at 307 Congress St, Portland, ME 04101. The listed phone number is (207) 871-7431.
What is Kelly Butler's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelly Butler enrolled in Medicare?
Yes. Kelly Butler is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Butler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Butler reassigns Medicare benefits to Catholic Charities Maine (Portland, 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 Kelly Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Butler was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kelly Lynn Butler, M.A., LCPC, LADC · NPI 1699953885
Mental Health provider in Portland, Maine. Individual provider, active in the CMS NPPES registry since February 10, 2008.
## Identity
- **NPI:** 1699953885 (Entity type: Individual)
- **Enumerated:** February 10, 2008
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 307 CONGRESS ST, Portland, ME 04101-3638
- **Phone:** (207) 871-7431
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Catholic Charities Maine (NPI 1013955947, Portland, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1699953885) · Data from the CMS NPPES public registry.