Black Brook Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLACK BROOK COUNSELING PLLC

Practice address

4 Shoreline Dr Unit 6
Boscawen, NH 03303-3523

Phone

(781) 789-5359

NPI assigned

Jan 19, 2021

Organization subpart

No

Name

Jacqueline Karas, LICSWNPI 1255716015

Title

Owner

Phone

(781) 789-5359

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Karas

  • Social Worker
  • Quincy, MA
  • NPI 1255716015
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2021.

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1225628811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SHORELINE DR UNIT 6",
            "city": "BOSCAWEN",
            "state": "NH",
            "postal_code": "033033523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SHORELINE DR UNIT 6",
            "city": "BOSCAWEN",
            "state": "NH",
            "postal_code": "033033523",
            "telephone_number": "781-789-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK BROOK COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "KARAS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-789-5359",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1255716015",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://doxy.me/jackiekaraslicsw",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4 Shoreline Dr Unit 6",
            "city": "Boscawen",
            "state": "NH",
            "country_code": "US",
            "postal_code": "033033523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly Allsup
• Serdar Ayan, D.C.
• Danielle R Bell, MS OTR/L
• Bailey Brooks, BA
• Jeremy Bunker
• Emmalee Carlson
• Allison Cloutier, M.S.
• County of Merrimack

• All providers in Boscawen, NH
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.