Organization Active NPI

Brookside Counseling

  • Mental Health Counselor
  • Hillsboro, NH
National Provider Identifier
1174991541
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
587 Issued in NH
Legal business name
BROOKSIDE COUNSELING
Practice address
365A W Main St
Hillsboro, NH 03244-5244
Phone
(603) 464-5599
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Eric Geaumont, LCMHC
Title
Owner
Phone
(603) 464-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 587 NH Primary

Addresses

Primary practice location

365A W Main St
Hillsboro, NH 03244-5244

Mailing address

365A W Main St
Hillsboro, NH 03244-5244
Phone (603) 464-5599

Other identifiers 1

IdentifierTypeStateIssuer
3078341MedicaidNH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1174991541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365A W MAIN ST",
            "city": "HILLSBORO",
            "state": "NH",
            "postal_code": "032445244",
            "telephone_number": "603-464-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365A W MAIN ST",
            "city": "HILLSBORO",
            "state": "NH",
            "postal_code": "032445244",
            "telephone_number": "603-464-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKSIDE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "GEAUMONT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-464-5599",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078341",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.