Individual provider Active NPI

Meredith Anne Kolodze, MSW, LICSW, OSW-C

  • Mental Health Counselor
  • Hampton, NH
National Provider Identifier
1285707075
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
861 Lafayette Rd Unit 7
Hampton, NH 03842-1232
Phone
(603) 777-2662
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

861 Lafayette Rd Unit 7
Hampton, NH 03842-1232

Mailing address

861 Lafayette Rd Unit 7
Hampton, NH 03842-1232
Phone (603) 777-2662

Other practice location 1

111 Church St
Laconia, NH 03246-3432
Phone (603) 536-1118 ext. 337

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1285707075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 LAFAYETTE RD UNIT 7",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421232",
            "telephone_number": "603-777-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 LAFAYETTE RD UNIT 7",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421232",
            "telephone_number": "603-777-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Church St",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032463432",
            "country_code": "US",
            "telephone_number": "603-536-1118 x337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLODZE",
        "first_name": "MEREDITH",
        "middle_name": "ANNE",
        "credential": "MSW, LICSW, OSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

Verify at the official NPI Registry.