Active NPI
Jessica A Wheeler, ADS, CRSW
- Addiction (Substance Use Disorder) Counselor
- Manchester, NH
National Provider Identifier
1043923915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0190
- Practice address
- 20 Market St
Manchester, NH 03101-1957 - Phone
- (603) 487-6727
- Fax
- (603) 622-7328
- NPI assigned
- Jan 5, 2023
- Last updated
- Feb 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0190 | NH | Primary |
Addresses
Primary practice location
20 Market St
Manchester, NH 03101-1957
Mailing address
50 Webster St # 2
Manchester, NH 03104-2504
Phone (603) 851-4756
Other practice location 1
700 Lake Ave Ste 2
Manchester, NH 03103-2734
Phone (603) 263-6288
Other practice location 2
140 Queen City Ave
Manchester, NH 03103-7122
Phone (603) 263-6288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0190 | NH | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Habit Opco, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1043923915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 WEBSTER ST # 2",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031042504",
"telephone_number": "603-851-4756"
},
{
"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": "603-487-6727",
"fax_number": "603-622-7328"
}
],
"practiceLocations": [
{
"address_1": "700 Lake Ave Ste 2",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031032734",
"country_code": "US",
"telephone_number": "603-263-6288",
"fax_number": "603-621-4016",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Queen City Ave",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031037122",
"country_code": "US",
"telephone_number": "603-263-6288",
"fax_number": "603-621-4016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "JESSICA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "ADS, CRSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-05",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "0190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.