Individual provider Active NPI

Ashleigh Mondoux, MSW, LICSW

  • Clinical Social Worker
  • Keene, NH
National Provider Identifier
1235435959
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1677 Issued in NH
Practice address
155 Washington St
Keene, NH 03431-3131
Phone
(401) 644-6538
NPI assigned
Jan 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 1677 NH Primary

Addresses

Primary practice location

155 Washington St
Keene, NH 03431-3131

Mailing address

94 Hill Rd
Alstead, NH 03602-3213
Phone (401) 644-6538

Other practice location 1

105 Loudon Rd Bldg 3
Concord, NH 03301-5600
Phone (603) 228-0547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1677NHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Keene PLLC CurrentSince Mar 22, 2020 Accepting new patients

Locations

155 Washington St
Keene, NH 03431
Phone (603) 283-0195

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1235435959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 HILL RD",
            "city": "ALSTEAD",
            "state": "NH",
            "postal_code": "036023213",
            "telephone_number": "401-644-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WASHINGTON ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313131",
            "telephone_number": "401-644-6538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Loudon Rd Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015600",
            "country_code": "US",
            "telephone_number": "603-228-0547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDOUX",
        "first_name": "ASHLEIGH",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.