Individual provider Active NPI

Stephanie A Laurendeau, PHMHP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New London, NH
National Provider Identifier
1245055581
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
049031-23 Issued in NH
Practice address
35 Newport Rd
New London, NH 03257-5413
Phone
(603) 865-1321
NPI assigned
Nov 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 049031-23 NH Primary

Addresses

Primary practice location

35 Newport Rd
New London, NH 03257-5413

Mailing address

PO Box 482
Bradford, NH 03221-0482
Phone (603) 748-6579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326001604 NH Practitioner - Nurse Practitioner 3779006143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Associates of New London PLLC Single Specialty CurrentSince Dec 29, 2024 Accepting new patients

Locations

251 Elm St
Claremont, NH 03743
Phone (603) 542-3800

35 Newport Rd
New London, NH 03257
Phone (603) 526-4230

144 Highland St
Plymouth, NH 03264
Phone (603) 536-1441

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1245055581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 482",
            "city": "BRADFORD",
            "state": "NH",
            "postal_code": "032210482",
            "telephone_number": "603-748-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENDEAU",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "PHMHP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "049031-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, NH

Sources for this page

Verify at the official NPI Registry.