Active NPI
Fireside Wellness LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Concord, NH
National Provider Identifier
1023929551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- FIRESIDE WELLNESS LLC
- Practice address
- 18 Loudon Rd Unit 1044
Concord, NH 03302-6043 - Phone
- (860) 205-4573
- NPI assigned
- Sep 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Deckers, LMHC
- Title
- Owner
- Phone
- (860) 205-4573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
18 Loudon Rd Unit 1044
Concord, NH 03302-6043
Mailing address
18 Loudon Rd Unit 1044
Concord, NH 03302-6043
Phone (860) 205-4573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1023929551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 LOUDON RD UNIT 1044",
"city": "CONCORD",
"state": "NH",
"postal_code": "033026043",
"telephone_number": "860-205-4573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 LOUDON RD UNIT 1044",
"city": "CONCORD",
"state": "NH",
"postal_code": "033026043",
"telephone_number": "860-205-4573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRESIDE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "DECKERS",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-205-4573",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.