Caitlyn Mastromarino, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4754

Practice address

124 Hall St Ste J3
Concord, NH 03301-3478

Phone

(508) 556-7067

NPI assigned

Jul 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Renewed Life Therapy LLC

  • Mental Health Counselor
  • Derry, NH
  • NPI 1407681901
  NPD Authorized official

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1033605241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TSIENNETO RD UNIT 85",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381552",
            "telephone_number": "508-736-0061",
            "fax_number": "603-883-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 HALL ST STE J3",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013478",
            "telephone_number": "508-556-7067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROMARINO",
        "first_name": "CAITLYN",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "4754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Pearce Martin, D.O.
• Wendy Mayer Martin, MD
• Matthew James Masewic, M.D.
• Kathryn Lyn Maskowitz, LICSW
• Massey Mental Health LLC
• Marjorie Matheny, RN, MSN, CCM
• Josy Mathew, MBBS, MD
• Michelle Liane Matson, OTR
• Wendy M Matson, PTA
• Linda C Mattlage, ARNP

• Mental Health Counselor in Concord, NH
• Providers in Concord, 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 Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.