Angel Ortiz

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0866 Issued in NH

Practice address

1076 W Swanzey Rd
Swanzey, NH 03446-3219

Phone

(603) 358-0070

Fax

(603) 358-0070

NPI assigned

Aug 1, 2014

Sex

Male

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

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elliot Professional ServicesGroup PAC ID 6103727920, 429 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  Medicare reassignment Care Compare group NPD
• Elliot Hospital of the City of Manchester

  • Community/Retail Pharmacy
  • Bedford, NH
  • NPI 1336638352
  NPD (past)
• Elliot Hospital of the City of Manchester

  • Durable Medical Equipment & Medical Supplies
  • Manchester, NH
  • NPI 1689764482
  NPD (past)

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1235547357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 W SWANZEY RD",
            "city": "SWANZEY",
            "state": "NH",
            "postal_code": "034463219",
            "telephone_number": "603-358-0070",
            "fax_number": "603-358-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 W SWANZEY RD",
            "city": "SWANZEY",
            "state": "NH",
            "postal_code": "034463219",
            "telephone_number": "603-358-0070",
            "fax_number": "603-358-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Pierce Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "NH",
            "postal_code": "034448657",
            "country_code": "US",
            "telephone_number": "603-563-8501 x4556",
            "fax_number": "603-563-8296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth N Nabi, RPH
• Nicole L Newell, MA, LCMHC, NCC
• Adam Noga
• Jessica Oldham
• Jennifer Olson, RBT
• Karen Marie Osgood, RN
• Jamie Ellen Pouliot, LCMHC
• Paul Brian Racano
• Kayla P Sirois, LCMHC, R-DMT
• Stephanie Smith, CCC-SLP

• Addiction (Substance Use Disorder) Counselor in Swanzey, NH
• Providers in Swanzey, 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 May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.