MEDICARE: ECHO CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	CC 1647	ME
2	106H00000X	Marriage & Family Therapist	MF1594	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100579	OTHER	ME	ANTHEM
2	2007603	OTHER	ME	CIGNA
3	11583591	OTHER	ME	CAQH

General Provider Information

NPI Number	:	1649355728
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ECHO CENTER

Provider Business Mailing Address
First Line	:	60 PINELAND DR
Second Line	:	SUITE 310
City	:	NEW GLOUCESTER
State	:	ME
Zip	:	04260-5124
Country	:	US
Telephone Number	:	207-688-8622
Fax Number	:	207-688-8622

Provider Business Practice Location Address
First Line	:	60 PINELAND DR
Second Line	:	SUITE 310
City	:	NEW GLOUCESTER
State	:	ME
Zip	:	04260-5124
Country	:	US
Telephone Number	:	207-688-8622
Fax Number	:	207-688-8622

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SCOTT KAPLAN
Credential	:	LMFT, LCPC
Telephone Number	:	207-688-8622

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	09/11/2025

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Directions to “ECHO CENTER ” Practice Location

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