Mary J Super, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1105 Issued in NH

Practice address

589 W Hollis St Ste 203
Nashua, NH 03062-1310

Phone

(603) 417-0471

NPI assigned

Dec 7, 2005

Last updated

Jul 21, 2022By 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

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225013857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 W HOLLIS ST STE 203",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621310",
            "telephone_number": "603-417-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 W HOLLIS ST STE 203",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621310",
            "telephone_number": "603-417-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Prospect St.",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "03060",
            "country_code": "US",
            "telephone_number": "603-889-6147",
            "fax_number": "603-883-1568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUPER",
        "first_name": "MARY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunbridge Healthcare Corporation (Langdon Place of Nashua)
• Cheryl Sundberg, BSW
• David Laural Sundell, D.MIN.
• Kaitlyn R Sundell
• Sunrise Orthotics & Prosthetics, LLC
• Suren Chelian, DMD, PLLC
• Deborah B Surette, M.D.
• Philip Lee Sutherland, O.D.
• Amanda Sutter-Francis, LICAC
• Brett Sweeney, MD

• Mental Health Counselor in Nashua, NH
• Providers in Nashua, 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 Jul 21, 2022; 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.