Organization Active NPI

Positive Impact Counseling PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Tilton, NH
National Provider Identifier
1053130617
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
POSITIVE IMPACT COUNSELING PLLC
Practice address
322 W Main St
Tilton, NH 03276-5037
Phone
(603) 707-6144
NPI assigned
Oct 9, 2024
Last updated
May 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Cathryn Ann Despins, LADCNPI 1720718844
Title
Member
Phone
(603) 729-0322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU Primary

Addresses

Primary practice location

322 W Main St
Tilton, NH 03276-5037

Mailing address

322 W Main St
Tilton, NH 03276-5037
Phone (603) 729-0322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241118003126 NH Part B Supplier - Clinic/Group Practice 7113452806 Receives reassigned benefits from 1 practitioner
Practice locations: Tilton, NH

National Provider Directory

National Provider Directory

Locations

322 W Main St
Ste 139
Tilton, NH 03276
Phone (603) 729-0322

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1053130617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W MAIN ST",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765037",
            "telephone_number": "603-729-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W MAIN ST",
            "city": "TILTON",
            "state": "NH",
            "postal_code": "032765037",
            "telephone_number": "603-707-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE IMPACT COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "DESPINS",
        "authorized_official_first_name": "CATHRYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-729-0322",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tilton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.