Cedar Grove Counseling and Wellness Center, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CEDAR GROVE COUNSELING AND WELLNESS CENTER, PLLC

Practice address

89 Portsmouth Ave
Stratham, NH 03885-2467

Phone

(978) 307-8654

NPI assigned

Nov 1, 2019

Last updated

Aug 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marcia Roche, LICSWNPI 1992133482

Title

Owner and MH Clinician

Phone

(978) 307-8654

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcia Roche, LICSW

  • Clinical Social Worker
  • Stratham, NH
  • NPI 1992133482
  NPD Authorized official
• Camber Olsen, LICSW

  • Clinical Social Worker
  • Stratham, NH
  • NPI 1588186209
  NPD

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629849600000",
    "number": "1184268161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 PORTSMOUTH AVE",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852467",
            "telephone_number": "860-373-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 PORTSMOUTH AVE",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852467",
            "telephone_number": "978-307-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR GROVE COUNSELING AND WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "ROCHE",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "OWNER AND MH CLINICIAN",
        "authorized_official_telephone_number": "978-307-8654",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121290",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3104762",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marcia@cedargrove-counseling.com",
            "affiliation": "N",
            "address_1": "89 Portsmouth Ave",
            "city": "Stratham",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038852467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Christopher Benton Family and Cosmetic Dentistry, PLLC

• Clinical Social Worker in Stratham, NH
• Providers in Stratham, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.