Active NPI
Nathan Andrew Manlove, LICSW
- Counselor
- Keene, NH
National Provider Identifier
1003997263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078508 | Medicaid | NH | |
| 81263595 | Medicaid | NH |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1399 | NH | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Wellness Associates | Current | 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.
-
- Clinical Psychologist
- Keene, NH
- NPI 1710437066
-
- Community/Behavioral Health Agency
- Keene, NH
- NPI 1649331224
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.