Organization Active NPI

Fireside Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, NH
National Provider Identifier
1023929551
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Sep 14, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.