Individual provider Active NPI

Carol Leonard Sobelson, MS, LICSW

  • Mental Health Counselor
  • Concord, NH
National Provider Identifier
1275635021
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88 Issued in NH
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
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

IdentifierTypeStateIssuer
1036802OtherNHCIGNA
80001295MedicaidNH
1403519Y0NH01OtherNHANTHEM 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.

Verify at the official NPI Registry.