Teressa A Maynard, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1296 Issued in NH

Practice address

268 Main St
Nashua, NH 03060-2949

Phone

(603) 402-2056

Fax

(603) 577-3122

NPI assigned

Feb 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Teressa A Corbit 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": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1205392461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "036-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MAIN ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602949",
            "telephone_number": "603-402-2056",
            "fax_number": "603-577-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "TERESSA",
        "middle_name": "A",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESSA",
            "last_name": "CORBIT",
            "middle_name": "A",
            "credential": "CRSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maxi Drug North Inc (Rite Aid Pharmacy 10270)
• Kathryn Neeld May, MSW
• Frances S. Mayer, L.I.C.S.W.
• Shannon Marie Mayi, RN
• Karen Kay Maynard, MD
• Donna J. Mayo, L.P.N.
• Emily Mazzoni
• Kaleigh Ann Mca'Nulty, PA-C
• Gia McAdam, MS, ARNP, FNP-C
• Kelly Anne McAllister, APRN-NP-FAMILY

• Addiction (Substance Use Disorder) Counselor in Nashua, NH
• Providers in Nashua, 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 Jun 2, 2023; 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.