Wayne Kieran Cunningham, L.C.M.H.C., L.A.D.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

237 Issued in NH

Practice address

2760 Main Street
Eastern Slope Inn
North Conway, NH 03860

Phone

(603) 356-9955

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1003946112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 476",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038600476",
            "telephone_number": "603-356-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 MAIN STREET",
            "address_2": "EASTERN SLOPE INN",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "03860",
            "telephone_number": "603-356-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "WAYNE",
        "middle_name": "KIERAN",
        "credential": "L.C.M.H.C., L.A.D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0331",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30014439",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary E Cole, OD
• John F. Conlon, M.D.
• Conway School District
• Michael Costa Jr., A.S.
• Austin Creer
• Heidi Craft Curry
• CVS Manchester NH, L.L.C.
• Ashley Cyr, CRNA, DNP
• Jennifer Ann Daggett, PT
• Marc Daigle, M.D.

• All providers in North Conway, NH
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.