Individual provider Active NPI

Kirsten Sue Lee, L.M.F.T.

  • Marriage & Family Therapist
  • Portsmouth, NH
National Provider Identifier
1174624449
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46 Issued in NH
Practice address
20 Ladd St
Suite 410
Portsmouth, NH 03801-4087
Phone
(603) 431-8800
Fax
(603) 433-6341
NPI assigned
Sep 26, 2006
Last updated
Sep 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 46 NH Primary

Addresses

Primary practice location

20 Ladd St
Suite 410
Portsmouth, NH 03801-4087

Mailing address

20 Ladd St
Suite 410
Portsmouth, NH 03801-4087
Phone (603) 431-8800

Other identifiers 3

IdentifierTypeStateIssuer
1404258Y0NH02OtherNHANTHEM BC/BS
30423977MedicaidNH
061671OtherMEANTHEM BC/BS

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
46NHMDNaturopath

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1174624449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LADD ST",
            "address_2": "SUITE 410",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014087",
            "telephone_number": "603-431-8800",
            "fax_number": "603-433-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LADD ST",
            "address_2": "SUITE 410",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014087",
            "telephone_number": "603-431-8800",
            "fax_number": "603-433-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KIRSTEN",
        "middle_name": "SUE",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "1404258Y0NH02",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30423977",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "061671",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.