Individual provider Active NPI

Jade Martin-Willis, LCMHC

  • Mental Health Counselor
  • Keene, NH
National Provider Identifier
1275915050
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
63 Emerald St # 102
Keene, NH 03431-3626
Phone
(603) 903-1414
Fax
(833) 693-0222
NPI assigned
Jun 29, 2015
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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 Primary

Addresses

Primary practice location

63 Emerald St # 102
Keene, NH 03431-3626

Mailing address

63 Emerald St # 102
Keene, NH 03431-3626
Phone (603) 903-1414

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meredith Reuter LLC CurrentSince Jun 18, 2023 Accepting new patients
Mindful Balance Therapy Center P.L.L.C PastSince Sep 1, 2019 Accepting new patients

Locations

441 Main St
Keene, NH 03431
Phone (603) 357-3565

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1275915050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 EMERALD ST # 102",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313626",
            "telephone_number": "603-903-1414",
            "fax_number": "833-693-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 EMERALD ST # 102",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313626",
            "telephone_number": "603-903-1414",
            "fax_number": "833-693-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-WILLIS",
        "first_name": "JADE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.