Active NPI
David M Huckins, LICSW
- Mental Health Counselor
- Concord, NH
National Provider Identifier
1073535290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 145
- Practice address
- 6D Hills Ave
Concord, NH 03301-4803 - Phone
- (603) 226-4446
- Fax
- (603) 226-4166
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 145 | NH | Primary |
Addresses
Primary practice location
6D Hills Ave
Concord, NH 03301-4803
Mailing address
PO Box 3621
Concord, NH 03302-3621
Phone (603) 226-4446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30424286 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051110000915 | NH | Practitioner - Clinical Social Worker | 1153349832 | Practice locations: Concord, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
6 -D Hills Ave
Concord, NH 03301-4803
Phone (603) 226-4446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145 | NH | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1073535290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3621",
"city": "CONCORD",
"state": "NH",
"postal_code": "033023621",
"telephone_number": "603-226-4446",
"fax_number": "603-226-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6D HILLS AVE",
"city": "CONCORD",
"state": "NH",
"postal_code": "033014803",
"telephone_number": "603-226-4446",
"fax_number": "603-226-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKINS",
"first_name": "DAVID",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30424286",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.