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Deactivated NPI 1710997739 Deactivated / Inactive NPI Male Practitioner

Robert Kingman , LCPC

Counselor - Professional • Augusta, ME

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Kingman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2006
NPI Deactivation Date May 28, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Robert Kingman, LCPC was a registered Counselor - Professional practicing in Augusta, ME. Throughout an active medical career spanning 13 years, Robert Kingman provided care at the practice location at 32 WINTHROP ST until profile deactivation on 2019-05-28.

Practice Location & Contact Primary Location

Practice Address

32 Winthrop St

Augusta, ME 043305624

Telephone 2076263448
Fax 2076263453
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Augusta, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 17.4 Yrs
Regional Practice Density
39 Specialists

Practicing in Augusta, ME (1105 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License ME CC936

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

36 Associated Practitioners
Shandi Ellis

Counselor - Addiction (Substance Use Disorder)

NPI 1104631019
Susan Garry , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1104922293

Licensed Alcohol and Drug Counselor

NPI 1275638827

Licensed Master Social Worker

Jodie Hart , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1285809921

Licensed Alcohol and Drug Counselor

Wilder Hart , LADC, CCS

Counselor - Addiction (Substance Use Disorder)

NPI 1295067734

Licensed Alcohol and Drug Counselor, Certified Coding Specialist

Cheryl Boucher , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1306166541

Licensed Alcohol and Drug Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 28, 2019

Record deactivated on May 28, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 32 WINTHROP ST, AUGUSTA, ME 043305624 (Tel: 2076263448)

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Updated Business Mailing Address July 08, 2007

Registered at 32 WINTHROP ST, AUGUSTA, ME 043305624 (Tel: 2076263448)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT KINGMAN, LCPC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #CC936 in ME)

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Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710997739
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: July 08, 2007
Deactivation Date: May 28, 2019

Mailing Address

32 Winthrop St

Augusta, ME 043305624

Phone: 2076263448

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.