West Central Services, Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Lebanon, NH
NPI 1174635684 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1174635684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- WEST CENTRAL SERVICES, INC.
- Practice address
- 85 Mechanic St Unit A10
Lebanon, NH 03766-1500 - Phone
- (603) 448-0126
- Fax
- (603) 448-6001
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Jonathan Brown
- Title
- Cfo & Ao
- Phone
- (603) 448-0126
Practitioners 225
-
Diane M Roston, MD
-
Matthew Squires, M.D.
-
Barbara Zinman, MSW
-
Emma Degrasse, LICSW
-
Benjamin Albers, M.DIV
-
Dawn M Austin, ADN, RN
-
William J Ballantyne, PSYD
-
Mary E S Bennett, LICSW
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D2341579 | West Central Behavioral Health | Certificate of waiver | Apr 5, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040813001200 | NH | Part B Supplier - Clinic/Group Practice | 0840263232 |
Receives reassigned benefits from 9 practitioners Practice locations: Claremont, NH; Lebanon, NH |
National Provider Directory
Locations
241 Elm St
Claremont, NH 03743
Phone (603) 542-7666
2 Whipple Pl
Lebanon, NH 03766
Phone (603) 442-9535
85 Mechanic St
Unit A10
Lebanon, NH 03766
Phone (603) 448-0126
9 Hanover St
#2
Lebanon, NH 03766
Phone (603) 448-0126
85 Mechanic St
Lebanon, NH 03766
Phone (603) 448-0126
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
85 Mechanic St Unit A10
Lebanon, NH 03766-1500
Mailing address
85 Mechanic St Unit A10
Lebanon, NH 03766-1500
Phone (603) 448-0126
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077550 | Medicaid | NH |
Other names
- West Central Behavioral Health
Other providers in Lebanon, NH
- Wendy Anne Wells
- Meredith Welsh
- Louise Ya-Li Wen
- Robert Joseph Wendling
- William Douglas Werry
- Donald Allan West
- Julia C West
- Loyd Avery West
- Anna M Westervelt
- Oliver D Weston
All providers in Lebanon, NH · Mental Health Clinic/Center (Including Community Mental Health Center) in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.