Habit Opco, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

License

090622 Issued in NH

Legal business name

HABIT OPCO, LLC

Practice address

20 Market St
Manchester, NH 03101-1957

Phone

(603) 622-4747

Fax

(603) 622-7328

NPI assigned

Oct 3, 2017

Organization subpart

Yes

Parent organization

ACADIA HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Brian Phillip Farley

Title

VP & Secretary

Phone

(615) 861-6000

Specialties & licenses 1

Addresses

Other names 1

• Habit OPCO-Manchester Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Habit Opco, LLC

  • Methadone Clinic
  • West Lebanon, NH
  • NPI 1033629100

  O20200302002007

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Habit Opco LLC13 organizations share this tax ID, including this one

Part of

Haven Behavioral Healthcare

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

• Habit Opco, LLC

  • Methadone Clinic
  • West Lebanon, NH
  • NPI 1033629100
  NPD tax ID
• Habit Opco

  • Addiction (Substance Use Disorder) Counselor
  • Brockton, MA
  • NPI 1154544880
  NPD tax ID
• Habit Opco

  • Community/Behavioral Health Agency
  • Fitchburg, MA
  • NPI 1396066817
  NPD tax ID
• Habit Opco

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, MA
  • NPI 1457786808
  NPD tax ID
• Habit Opco

  • Clinic/Center
  • Irvington, NJ
  • NPI 1477797595
  NPD tax ID
• Habit Opco Wareham

  • Health Maintenance Organization
  • E. Wareham, MA
  • NPI 1639537285
  NPD tax ID
• Habit Opco, LLC

  • Methadone Clinic
  • Springfield, MA
  • NPI 1023175072
  NPD tax ID
• Habit Opco, LLC

  • Methadone Clinic
  • Cliffwood, NJ
  • NPI 1386888279
  NPD tax ID
• Habit Opco, LLC

  • Methadone Clinic
  • South Amboy, NJ
  • NPI 1639689292
  NPD tax ID
• Habit Opco, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brattleboro, VT
  • NPI 1861902926
  NPD tax ID
• Habit Opco, LLC

  • Methadone Clinic
  • Brattleboro, VT
  • NPI 1912155516
  NPD tax ID
• Habit Optco Acadia Healthcare

  • Public Health or Welfare Agency
  • Lynn, MA
  • NPI 1053845354
  NPD tax ID

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1043720113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682669",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370682669",
            "telephone_number": "760-501-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MARKET ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011957",
            "telephone_number": "603-622-4747",
            "fax_number": "603-622-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABIT OPCO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE",
        "enumeration_date": "2017-10-03",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NH",
            "license": "090622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Habit OPCO-Manchester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen J Gustafson
• Darlene Gustavson, PSYD
• Manohar Gyawali
• Vonda Haas-Rueda, PA
• Loren Elizabeth Haberski, MSW
• Aimee Hackett, LICSW
• Carol M Haddad, DMD
• Jody Ann Hagan, RD CDE
• Melissa Hagen, BSN, RN
• Janice Hirsch Hagenow, MA, LCMHC

• All providers in Manchester, NH
• Methadone Clinic in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.