Stonycreek Psychotherapy and Wellness LLC
NPI 1922612936ActiveOrganization· Counselor, Professional· Portland, ME
Counselor, Professional in Portland, Maine, registered in NPPES in September 2020. The authorized official on file is Laura Watters, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1922612936 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2020 |
| Last updated in NPPES | Sep 11, 2020 |
| Certified by provider | Sep 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ME); Part B Supplier - Clinic/Group Practice (NH) |
|---|
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