Individual provider Active NPI

Benjamin Coyle Hillyard, M.ED. LCMHC

  • Mental Health Counselor
  • Exeter, NH
National Provider Identifier
1053408922
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
136 Issued in NH
Practice address
30 Linden St
Exeter, NH 03833-2622
Phone
(603) 686-5169
Fax
(603) 686-5008
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 136 NH Primary

Addresses

Primary practice location

30 Linden St
Exeter, NH 03833-2622

Mailing address

30 Linden St
Exeter, NH 03833-2622
Phone (603) 686-5169

Other identifiers 1

IdentifierTypeStateIssuer
30427323MedicaidNH

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
136NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Educational Consultation and Counseling Mental Health Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1053408922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LINDEN ST",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332622",
            "telephone_number": "603-686-5169",
            "fax_number": "603-686-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LINDEN ST",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332622",
            "telephone_number": "603-686-5169",
            "fax_number": "603-686-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLYARD",
        "first_name": "BENJAMIN",
        "middle_name": "COYLE",
        "credential": "M.ED. LCMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30427323",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.