Active NPI
Moonshadow Counseling, LLC
- Clinical Social Worker
- Colebrook, NH
National Provider Identifier
1124918834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MOONSHADOW COUNSELING, LLC
- Practice address
- 6 First St
Colebrook, NH 03576-3128 - Phone
- (603) 331-3604
- Fax
- (307) 323-3953
- NPI assigned
- Jul 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzan P Dewitt, LICSW; MLADC
- Title
- Owner/Provider
- Phone
- (603) 237-5862
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6 First St
Colebrook, NH 03576-3128
Mailing address
25 Ridgewood Dr
Pittsburg, NH 03592-5219
Phone (603) 331-3604
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782864000000",
"number": "1124918834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 RIDGEWOOD DR",
"city": "PITTSBURG",
"state": "NH",
"postal_code": "035925219",
"telephone_number": "603-331-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 FIRST ST",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035763128",
"telephone_number": "603-331-3604",
"fax_number": "307-323-3953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOONSHADOW COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-04",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "DEWITT",
"authorized_official_first_name": "SUZAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "603-237-5862",
"authorized_official_credential": "LICSW; MLADC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colebrook, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.