Individual provider Active NPI

Jennifer L Schirmer, LCMHC, NCC, CCTP

  • Mental Health Counselor
  • Dover, NH
National Provider Identifier
1255615407
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1242 Issued in NH
Practice address
6 Old Rochester Rd Ste 105
Dover, NH 03820
Phone
(603) 343-4784
NPI assigned
Oct 6, 2011
Last updated
Nov 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1242 NH Primary
Professional Counselor 101YP2500X 1242 NH

Addresses

Primary practice location

6 Old Rochester Rd Ste 105
Dover, NH 03820

Mailing address

6 Old Rochester Rd Ste 105
Dover, NH 03820-2028
Phone (603) 343-4784

Other practice location 1

6 Old Rochester Rd Ste 105
Dover, NH 03820
Phone (603) 343-4784

Other identifiers 1

IdentifierTypeStateIssuer
14197894OtherCAQH

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

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1255615407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD ROCHESTER RD STE 105",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202028",
            "telephone_number": "603-343-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OLD ROCHESTER RD STE 105",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-343-4784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Old Rochester Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "03820",
            "country_code": "US",
            "telephone_number": "603-343-4784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHIRMER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LCMHC, NCC, CCTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1242",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NH",
            "license": "1242",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14197894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.