Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DOLPHIN MOON AVERY-GRUBEL LCPC-C
NPI 1801628664
Counselor - Professional in South Portland, ME

Q: What is Dolphin Avery-grubel's NPI number?

The NPI number for Dolphin Avery-grubel is 1801628664. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Q: What is Dolphin Avery-grubel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since August 19, 2024

105 BOOTHBY AVE, SOUTH PORTLAND, ME 04106(207) 747-9741 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 19, 2026, Aug 19, 2024 (2 updates tracked since 2024).

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About Dolphin Moon Avery-grubel Lcpc-c NPPES

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

DOLPHIN MOON AVERY-GRUBEL LCPC-C (NPI 1801628664) is an individual professional provider in South Portland, Maine, licensed in Maine (XL7648) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1801628664

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDOLPHIN MOON AVERY-GRUBELCredential: LCPC-C

Location Address105 BOOTHBY AVESouth Portland, ME 04106-4631

Mailing Address105 Boothby AveSouth Portland, ME 04106-4631 · (207) 747-9741

Phone(207) 747-9741

Sole ProprietorYes

Enumeration DateAugust 19, 2024

Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1801628664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ME · XL7648

105 BOOTHBY AVE, South Portland, ME 04106

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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 Dolphin Avery-grubel's NPI number?

The NPI number for Dolphin Avery-grubel is 1801628664. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Dolphin Avery-grubel located?

Dolphin Avery-grubel practices at 105 Boothby Ave, South Portland, ME 04106. The listed phone number is (207) 747-9741.

What is Dolphin Avery-grubel's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Dolphin Avery-grubel was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.