Nicole Allendorph, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2227 Issued in NH

Practice address

10 Tsienneto Rd
Derry, NH 03038-1505

Phone

(603) 965-0785

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mental Health Center for Southern New Hampshire IncGroup PAC ID 4981594199, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mental Health Center for Southern New Hampshire Inc

  dba CLM Center for Life Management

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Derry, NH
  • NPI 1003914466
  Medicare reassignment Care Compare group
• Granite State Disabilities Collective, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raymond, NH
  • NPI 1205770161
  NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1083450134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ROUTE 27 APT 43",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030772231",
            "telephone_number": "978-314-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TSIENNETO RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381505",
            "telephone_number": "603-965-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLENDORPH",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric E Ahlquist, BA
• Albacore Inpatient Services LLC
• Tina Alexander
• Mujahid Ali
• Michelle Allen
• Nicole Rose Ambrosecchio, LICSW
• Allison Anastasoff
• Elizabeth Williams Anderson, R.D.
• Matthew Anderson, MASTERS IN COUNSELIN
• Susan Anderson, MED CAGS

• Mental Health Counselor in Derry, NH
• Providers in Derry, 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 Jul 8, 2024; 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.

Verify at the official NPI Registry.