Christopher Casagrande
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Manchester, NH
NPI 1215079520 · NPPES record last updated Dec 13, 2018
Key facts
- NPI
- 1215079520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 1049 (NH)
- Practice address
- 140 Queen City Ave
Manchester, NH 03103-7122 - Phone
- (603) 622-3020
- Fax
- (603) 621-4295
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1049 | NH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Mental Health Center, Inc. | Past | Accepting new patients | |
| The Acorn Center, LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1049 | NH | Yes |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
140 Queen City Ave
Manchester, NH 03103-7122
Mailing address
1145 Sagamore Ave
Portsmouth, NH 03801-5585
Phone (603) 431-6703
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99003227 | Medicaid | NH | |
| 7706655Y0NH01 | Other | NH | BHN |
Other providers in Manchester, NH
- Loren Caruso
- Valerie Caruso
- Michael George Carvalho
- Bonita Hazel Cary
- Luz Casado
- Barbara Case
- Samantha Ashley Case
- Ritche Lamanilao Casenas
- Amy B Casey
- Gabrielle Casey
All providers in Manchester, NH · Addiction (Substance Use Disorder) Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.