Individual provider Active NPI

Theresa M. McCafferty, LCMHC

  • Mental Health Counselor
  • Claremont, NH
National Provider Identifier
1245535194
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
815 Issued in NH
Practice address
241 Elm Street
Twin State Psychological Services
Claremont, NH 03743-2026
Phone
(603) 542-1877
Fax
(802) 885-5720
NPI assigned
Jan 24, 2011
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 815 NH Primary

Addresses

Primary practice location

241 Elm Street
Twin State Psychological Services
Claremont, NH 03743-2026

Mailing address

P.O. Box 2003
Twin State Psychological Services
Springfield, VT 05156-2003
Phone (802) 885-5719

Other identifiers 2

IdentifierTypeStateIssuer
30429610MedicaidNH
1255417408OtherNHGROUP NPI

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
815NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1245535194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2003",
            "address_2": "TWIN STATE PSYCHOLOGICAL SERVICES",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051562003",
            "telephone_number": "802-885-5719",
            "fax_number": "802-885-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 ELM STREET",
            "address_2": "TWIN STATE PSYCHOLOGICAL SERVICES",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432026",
            "telephone_number": "603-542-1877",
            "fax_number": "802-885-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAFFERTY",
        "first_name": "THERESA",
        "middle_name": "M.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30429610",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1255417408",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.