Individual provider Active NPI

Eric Michael Geaumont, LCMHC

  • Counselor
  • Hillsboro, NH
National Provider Identifier
1104011428
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
587 Issued in NH
Practice address
365 West Main St
Hillsboro, NH 03242
Phone
(603) 464-5599
Fax
(603) 464-5549
NPI assigned
Sep 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 587 NH Primary

Addresses

Primary practice location

365 West Main St
Hillsboro, NH 03242

Mailing address

PO Box 438
365 West Main St
Hillsboro, NH 03242
Phone (603) 464-5599

Other identifiers 1

IdentifierTypeStateIssuer
30423766MedicaidNH

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

State licenses

LicenseStateTypeSpecialty
587NHMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1104011428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 438",
            "address_2": "365 WEST MAIN ST",
            "city": "HILLSBORO",
            "state": "NH",
            "postal_code": "03242",
            "telephone_number": "603-464-5599",
            "fax_number": "603-464-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WEST MAIN ST",
            "city": "HILLSBORO",
            "state": "NH",
            "postal_code": "03242",
            "telephone_number": "603-464-5599",
            "fax_number": "603-464-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEAUMONT",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NH",
            "license": "587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30423766",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.