Individual provider Active NPI

Lucy Putnam, LCMHC

  • Marriage & Family Therapist
  • Rochester, NH
National Provider Identifier
1265643126
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
61 Issued in NH
Practice address
25 Old Dover Rd
Rochester, NH 03867-3464
Phone
(603) 335-6470
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 61 NH Primary

Addresses

Primary practice location

25 Old Dover Rd
Rochester, NH 03867-3464

Mailing address

113 Crosby Rd
Dover, NH 03820-4370
Phone (603) 749-4015

Other identifiers 1

IdentifierTypeStateIssuer
30931444MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61NHMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health and Developmental Services of Strafford County, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

113 Crosby Rd
Dover, NH 03820
Phone (603) 749-4015

113 Crosby Rd
Ste 1
Dover, NH 03820

50 Chestnut St
Dover, NH 03820
Phone (603) 516-7372

25 Old Dover Rd
Unit B
Rochester, NH 03867
Phone (603) 822-7168

25 Old Dover Rd
Rochester, NH 03867
Phone (603) 335-6470

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265643126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CROSBY RD",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038204370",
            "telephone_number": "603-749-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OLD DOVER RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038673464",
            "telephone_number": "603-335-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "LUCY",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NH",
            "license": "61",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30931444",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NH

Sources for this page

Verify at the official NPI Registry.