Individual provider Active NPI

Susan Marie Edmonds, MA, LCMHC, MLADC

  • Mental Health Counselor
  • Nashua, NH
National Provider Identifier
1275280877
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2677 Issued in NH
Practice address
9 Trafalgar SQ Ste 270
Nashua, NH 03063-1900
Phone
(870) 544-4094
Fax
(603) 386-6260
NPI assigned
Mar 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1278 NH
Mental Health Counselor 101YM0800X 2677 NH Primary

Addresses

Primary practice location

9 Trafalgar SQ Ste 270
Nashua, NH 03063-1900

Mailing address

9 Trafalgar SQ Ste 270
Nashua, NH 03063-1900
Phone (870) 544-4094

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507003947 NH Practitioner - Mental Health Counselor 8628419769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrity Care Management LLCGroup PAC ID 4183065220, 7 clinicians

Practice addresses (Care Compare)

1 F Commons Dr
Unit 35
Londonderry, NH 03053-3474
Phone (603) 386-6260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2677NHMDMental Health Counselor
1278NHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Care Management LLC Mental Health CurrentSince Mar 18, 2024 Accepting new patients
Community Council of Nashua NH, Inc. PastSince Nov 1, 2022 Accepting new patients

Locations

1F Commons Dr
Unit 35
Londonderry, NH 03053
Phone (603) 386-6260

9 Trafalgar Sq
Ste 270
Nashua, NH 03063
Phone (603) 486-4027

Organizations & group practices 2

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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1275280877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 TRAFALGAR SQ STE 270",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631900",
            "telephone_number": "870-544-4094",
            "fax_number": "603-386-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 TRAFALGAR SQ STE 270",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631900",
            "telephone_number": "870-544-4094",
            "fax_number": "603-386-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "MA, LCMHC, MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1278",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.