Individual provider Active NPI

Felix P Gagne, LCMHC, LADC, CEAP

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1114190899
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
466 Issued in NH
Practice address
312 Highlander Way
Manchester, NH 03103-7414
Phone
(603) 626-1244
Fax
(603) 626-1320
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0258 NH
Mental Health Counselor 101YM0800X 466 NH Primary

Addresses

Primary practice location

312 Highlander Way
Manchester, NH 03103-7414

Mailing address

388 Wilson St
Manchester, NH 03103-4912
Phone (603) 627-1127

Other names 1

  • Luke F Gagne Professional name

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
0258NHMDAddiction (Substance Use Disorder) Counselor
466NHMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1114190899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 WILSON ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031034912",
            "telephone_number": "603-627-1127",
            "fax_number": "603-659-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 HIGHLANDER WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031037414",
            "telephone_number": "603-626-1244",
            "fax_number": "603-626-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "FELIX",
        "middle_name": "P",
        "credential": "LCMHC, LADC, CEAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0258",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUKE",
            "last_name": "GAGNE",
            "middle_name": "F",
            "credential": "LCMHC, LADC, CEAP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jan 28, 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.