Active NPI
Carol Leonard Sobelson, MS, LICSW
- Mental Health Counselor
- Concord, NH
National Provider Identifier
1275635021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 88
- Practice address
- 141 E Side Dr
Concord, NH 03301-5465 - Phone
- (603) 724-3496
- Fax
- (603) 228-7014
- NPI assigned
- Sep 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88 | NH | Primary |
Addresses
Primary practice location
141 E Side Dr
Concord, NH 03301-5465
Mailing address
141 E Side Dr
Concord, NH 03301-5465
Phone (603) 724-3496
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1036802 | Other | NH | CIGNA |
| 80001295 | Medicaid | NH | |
| 1403519Y0NH01 | Other | NH | ANTHEM BC/BS NH |
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275635021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E SIDE DR",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015465",
"telephone_number": "603-724-3496",
"fax_number": "603-228-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E SIDE DR",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015465",
"telephone_number": "603-724-3496",
"fax_number": "603-228-7014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBELSON",
"first_name": "CAROL",
"middle_name": "LEONARD",
"credential": "MS, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "88",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1036802",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80001295",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS NH",
"identifier": "1403519Y0NH01",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.