Active NPI
Brookside Counseling
- Mental Health Counselor
- Hillsboro, NH
National Provider Identifier
1174991541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 587
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078341 | Medicaid | NH |
National Provider Directory
National Provider DirectoryNPI 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.