John Eldredge, MSW, MLADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0981 Issued in NH

Practice address

10 Grove St Unit a
Dover, NH 03820-3334

Phone

(603) 235-1489

NPI assigned

Apr 19, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• White Birch Recovery Services, PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Dover, NH
  • NPI 1548797228
  Medicare reassignment NPD Authorized official
• Jemb, PLLC

  • Addiction (Substance Use Disorder) Counselor
  • Dover, NH
  • NPI 1760023311
  NPD Authorized official
• Bonfire Recovery Services LLC

  • Substance Abuse Rehabilitation Facility
  • Dover, NH
  • NPI 1972059772
  NPD (past) Authorized official

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1194179895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GROVE ST UNIT A",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203334",
            "telephone_number": "603-235-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GROVE ST UNIT A",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203334",
            "telephone_number": "603-235-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDREDGE",
        "first_name": "JOHN",
        "credential": "MSW, MLADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Konstantinos Economopoulos, MD, PHD, MENG
• Edelweiss Family Care & Telehealth,LLC
• Erika Edgar
• Laurie Ann Ekberg, LICSW
• Jonathan Eldor, M.D.
• Caitlin Eldridge, LCMHC
• Jordan Elias
• Priscilla Ell, MS, CCC-SLP
• Brian Carter Elliott, CRNA
• Celia Ellis, PT

• Addiction (Substance Use Disorder) Counselor in Dover, NH
• Providers in Dover, NH by specialty
• Addiction (Substance Use Disorder) Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.