Individual provider Active NPI

Paul E Groleau, M.ED

  • Pastoral Counselor
  • Manchester, NH
National Provider Identifier
1114941242
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
License
48 Issued in NH
Practice address
1650 Elm St
Suite 404
Manchester, NH 03101-1217
Phone
(603) 625-8588
Fax
(603) 218-6514
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4 NH
Pastoral Counselor 101YP1600X 48 NH Primary

Addresses

Primary practice location

1650 Elm St
Suite 404
Manchester, NH 03101-1217

Mailing address

1650 Elm St
Suite 404
Manchester, NH 03101-1217
Phone (603) 625-8588

Other identifiers 1

IdentifierTypeStateIssuer
30006921MedicaidNH

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 Education

State licenses

LicenseStateTypeSpecialty
48NHMDPastoral Counselor
4NHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114941242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ELM ST",
            "address_2": "SUITE 404",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011217",
            "telephone_number": "603-625-8588",
            "fax_number": "603-218-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ELM ST",
            "address_2": "SUITE 404",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011217",
            "telephone_number": "603-625-8588",
            "fax_number": "603-218-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLEAU",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "4",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NH",
            "license": "48",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30006921",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "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 Sep 11, 2025; 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.