Justine Fahey, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2619 Issued in NH

Practice address

53 S Main St Ste 206&208
Hanover, NH 03755-2022

Phone

(603) 865-1321

Fax

(603) 865-1327

NPI assigned

Feb 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Counseling Associates of New London PLLC

  • Mental Health Counselor
  • New London, NH
  • NPI 1205055365
  NPD

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1023714979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S MAIN ST STE 206&208",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552022",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Newport Rd",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "NH",
            "postal_code": "032575413",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 Elm St",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "NH",
            "postal_code": "037434940",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Buck Rd Ste J",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "NH",
            "postal_code": "037552715",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 Highland St",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "NH",
            "postal_code": "032641240",
            "country_code": "US",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "JUSTINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0135140",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine M Neal DMD PA
• Eric Matthew Ellingson, MSPT
• Nancy Evans, PT
• Mary Ellen Everson, RD
• Arnold Fabricant, M.D.
• Tina Fletcher
• Abigail Foster, APRN
• Gladys Frankel, PHD
• Jeffrey C. Frechette, ATC
• Fred W. Salvatoriello DMD PA

• Mental Health Counselor in Hanover, NH
• Providers in Hanover, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.