Active NPI
Jessica Slater, LADC
- Addiction (Substance Use Disorder) Counselor
- Keene, NH
National Provider Identifier
1144038969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1264
- Practice address
- 372 West St
Keene, NH 03431-2412 - Phone
- (603) 696-1899
- NPI assigned
- Dec 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1264 | NH | Primary |
Addresses
Primary practice location
372 West St
Keene, NH 03431-2412
Mailing address
19 Green Meadow LN
Manchester, NH 03109-5546
Phone (603) 548-8998
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1264 | NH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1144038969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 GREEN MEADOW LN",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031095546",
"telephone_number": "603-548-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 WEST ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034312412",
"telephone_number": "603-696-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "JESSICA",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-26",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "1264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.