Individual provider Active NPI

Karen Wolivar

  • Addiction (Substance Use Disorder) Counselor
  • Northfield, NH
National Provider Identifier
1104292028
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0851 Issued in NH
Practice address
23 Elm St
Northfield, NH 03276-1528
Phone
(603) 934-5297
Fax
(603) 286-1277
NPI assigned
Aug 14, 2015
Last updated
Aug 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0851 NH Primary

Addresses

Primary practice location

23 Elm St
Northfield, NH 03276-1528

Mailing address

23 Elm St
Northfield, NH 03276-1528
Phone (603) 934-5297

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
0851NHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1104292028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ELM ST",
            "city": "NORTHFIELD",
            "state": "NH",
            "postal_code": "032761528",
            "telephone_number": "603-934-5297",
            "fax_number": "603-286-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ELM ST",
            "city": "NORTHFIELD",
            "state": "NH",
            "postal_code": "032761528",
            "telephone_number": "603-934-5297",
            "fax_number": "603-286-1277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLIVAR",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.