Individual provider Active NPI

Mitchell Taranow, CMHC

  • Mental Health Counselor
  • Concord, NH
National Provider Identifier
1104486612
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
33 Warren St
Concord, NH 03301-4049
Phone
(603) 520-6936
Fax
(603) 520-6936
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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 Primary

Addresses

Primary practice location

33 Warren St
Concord, NH 03301-4049

Mailing address

33 Warren St
Concord, NH 03301-4049
Phone (603) 520-6936

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
I20240723001636 NH Practitioner - Mental Health Counselor 5294271573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Warren Street Family Counseling Assoc IncGroup PAC ID 5799762597, 9 clinicians

Practice addresses (Care Compare)

33 Warren St
Concord, NH 03301-4049
Phone (603) 226-1999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2176NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Street Family Counseling Assoc Inc Mental Health CurrentSince May 10, 2024 Accepting new patients

Locations

44 Newmarket Rd
Durham, NH 03824
Phone (603) 226-1999

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1104486612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WARREN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014049",
            "telephone_number": "603-520-6936",
            "fax_number": "603-520-6936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WARREN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014049",
            "telephone_number": "603-520-6936",
            "fax_number": "603-520-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANOW",
        "first_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.