Individual provider Active NPI

Christina Loder, LCMHC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1104254424
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2061 Issued in NH
Practice address
1056 River Rd
Manchester, NH 03104-1958
Phone
(603) 931-3914
Fax
(603) 232-4954
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 2061 NH Primary

Addresses

Primary practice location

1056 River Rd
Manchester, NH 03104-1958

Mailing address

1056 River Rd
Manchester, NH 03104-1958
Phone (039) 313-9146

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709002008 NH Practitioner - Mental Health Counselor 3971048471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2061NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Homes, Inc Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Harbor Homes, Inc. Mental Health CurrentSince Jun 1, 2024 Accepting new patients

Locations

45 High St
Nashua, NH 03060
Phone (603) 821-7788

77 Northeastern Blvd
Nashua, NH 03062
Phone (603) 882-3616

Organizations & group practices 2

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1104254424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031041958",
            "telephone_number": "039-313-9146",
            "fax_number": "603-232-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 RIVER RD",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031041958",
            "telephone_number": "603-931-3914",
            "fax_number": "603-232-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODER",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.