Mending Mind Wellness, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MENDING MIND WELLNESS, LLC

Practice address

4 Park St Ste 403
Concord, NH 03301-6313

Phone

(978) 225-3442

NPI assigned

Jan 20, 2023

Organization subpart

No

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

Authorized official

Name

Sydney Desrochers, LICSW

Title

Owner

Phone

(978) 886-4598

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sydney Johna Venuti, LICSW

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1346732625
  Medicare reassignment Care Compare group NPD
• Jennifer Irene Hewitt, BS

  • Counselor
  • Laconia, NH
  • NPI 1659546091
  Medicare reassignment Care Compare group NPD (past)
• Lauri Johnson, MSW

  • Clinical Social Worker
  • Concord, NH
  • NPI 1225678154
  Medicare reassignment Care Compare group
• Robin Raycraft, LCMHC

  • Mental Health Counselor
  • Concord, NH
  • NPI 1326583121
  Medicare reassignment Care Compare group
• Samantha Lee Houser, LICSW

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1902456528
  Medicare reassignment
• Katherine Robeson Miller-Diglio, MSW, LICSW

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1306150438
  Medicare reassignment
• Amy Bonneau, LICSW

  • Clinical Social Worker
  • Hanscom Afb, MA
  • NPI 1568839991

  NH

  Medicare reassignment
• Kathryn Bloch

  • Mental Health Counselor
  • Manchester, NH
  • NPI 1689459596
  NPD (past)
• Abigail L Cote, MSW, LICSW

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1457830960

  Mental Health

  NPD (past)
• Kourtney Poland

  • Mental Health Counselor
  • Manchester, NH
  • NPI 1710478789
  NPD (past)

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1073228326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ELM ST STE 401",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011824",
            "telephone_number": "978-225-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK ST STE 403",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033016313",
            "telephone_number": "978-225-3442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 W Main St Ste 1E",
            "address_purpose": "LOCATION",
            "city": "Tilton",
            "state": "NH",
            "postal_code": "032765031",
            "country_code": "US",
            "telephone_number": "978-225-3442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 Hall St",
            "address_2": "Ste J3 & J5",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "03301",
            "country_code": "US",
            "telephone_number": "978-225-3442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 W Main St",
            "address_purpose": "LOCATION",
            "city": "Tilton",
            "state": "NH",
            "postal_code": "032765037",
            "country_code": "US",
            "telephone_number": "978-225-3442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1045 Elm St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031011824",
            "country_code": "US",
            "telephone_number": "978-225-3442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Lake St Unit 15",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032462129",
            "country_code": "US",
            "telephone_number": "978-225-3442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENDING MIND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-20",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "DESROCHERS",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-886-4598",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia B Mekler, CRNA, ARNP
• Rachael Mello
• Danielle Mellor
• Cindal Menard
• Grace E M Menard
• Samantha Mendoza
• Aaliyah Inez Mercado, PHARMD
• Amaury Mercado
• Allison Merk, MA
• Gina Merrick, COTA/L

• 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 Jan 16, 2026; 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.