Catherine C Sickles, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

448 Issued in MA

Practice address

800 Park Ave RM 111
Keene, NH 03431-1513

Phone

(603) 400-7472

NPI assigned

Oct 4, 2007

Last updated

Mar 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Catherine C Roach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1184812026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "MARLBOROUGH",
            "state": "NH",
            "postal_code": "034550125",
            "telephone_number": "603-400-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PARK AVE RM 111",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034311513",
            "telephone_number": "603-400-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICKLES",
        "first_name": "CATHERINE",
        "middle_name": "C",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-04",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3124965",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "ROACH",
            "middle_name": "C",
            "credential": "LCMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin L Shepard
• Scott C Shepherd
• Serena R Shomody, DPM
• Heidi S Short, BA
• Raonak E Zahan Shristy
• Sabrina Zainub Siddiqui, MD, MPH
• Stephanie Myles Siegel
• Todd Adam Silberstein, D.O.
• Mark B Silbey, M.D.
• Amber River Silk, BA

• Mental Health Counselor in Keene, NH
• Providers in Keene, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.