Individual provider Active NPI

Merrill Beth Friedman, LCMHC

  • Mental Health Counselor
  • Nashua, NH
National Provider Identifier
1083700835
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
414 Issued in NH
Practice address
29 Northwest Blvd.
Nashua, NH 03063
Phone
(603) 881-9311
Fax
(603) 595-7772
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 414 NH Primary

Addresses

Primary practice location

29 Northwest Blvd.
Nashua, NH 03063

Mailing address

29 Northwest Blvd.
Nashua, NH 03063
Phone (603) 881-9311

Other identifiers 1

IdentifierTypeStateIssuer
30422393MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 21, 2024 through Feb 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
414NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Merrill Beth Friedman Ma Lcmhc Mental Health CurrentSince Mar 12, 2023 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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083700835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NORTHWEST BLVD.",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "telephone_number": "603-881-9311",
            "fax_number": "603-595-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTHWEST BLVD.",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "telephone_number": "603-881-9311",
            "fax_number": "603-595-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "MERRILL",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30422393",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.