Individual provider Active NPI

Nathan Andrew Manlove, LICSW

  • Counselor
  • Keene, NH
National Provider Identifier
1003997263
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
Mountain Wellness Associates
163 Washington Street
Keene, NH 03431-3131
Phone
(603) 283-0195
Fax
(603) 283-0197
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

Mountain Wellness Associates
163 Washington Street
Keene, NH 03431-3131

Mailing address

Mountain Wellness Associates
163 Washington Street
Keene, NH 03431-3131
Phone (603) 283-0195

Other identifiers 2

IdentifierTypeStateIssuer
3078508MedicaidNH
81263595MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080303000480 NH Practitioner - Clinical Social Worker 7618051434 Reassigns benefits to 1 organization
Practice locations: Keene, NH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mountain Wellness AssociatesGroup PAC ID 8628359783, 2 clinicians

Practice addresses (Care Compare)

163 Washington St
Keene, NH 03431-3131
Phone (603) 283-0195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1399NHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Wellness Associates CurrentSince Jan 1, 2017 Accepting new patients
Monadnock Family Services Past Accepting new patients

Locations

155 Washington St
Keene, NH 03431
Phone (603) 283-0195

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1003997263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MOUNTAIN WELLNESS ASSOCIATES",
            "address_2": "163 WASHINGTON STREET",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313131",
            "telephone_number": "603-283-0195",
            "fax_number": "603-283-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MOUNTAIN WELLNESS ASSOCIATES",
            "address_2": "163 WASHINGTON STREET",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313131",
            "telephone_number": "603-283-0195",
            "fax_number": "603-283-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLOVE",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078508",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81263595",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.