Active NPI
Alan Duane Martin, MA
- Mental Health Counselor
- Manchester, NH
National Provider Identifier
1104060664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 9 Blodget St
Manchester, NH 03104-3502 - Phone
- (603) 668-4111
- Fax
- (603) 628-7757
- NPI assigned
- Apr 28, 2009
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
9 Blodget St
Manchester, NH 03104-3502
Mailing address
2 Wall St Ste 300
Manchester, NH 03101-1518
Phone (603) 668-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81263575 | Medicaid | NH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TheMentalHealthCenterofGreaterManchester@mhcgm.netsmartdirect.net | Health Information Exchange (HIE) |
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
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mental Health Center of Greater Manchester | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manchester, NH
- NPI 1609848811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1104060664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 WALL ST STE 300",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011518",
"telephone_number": "603-668-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 BLODGET ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031043502",
"telephone_number": "603-668-4111",
"fax_number": "603-628-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ALAN",
"middle_name": "DUANE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-28",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81263575",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "TheMentalHealthCenterofGreaterManchester@mhcgm.netsmartdirect.net",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "9 Blodget St",
"city": "Manchester",
"state": "NH",
"country_code": "US",
"postal_code": "031043502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.