Individual provider Active NPI

Bryan C Plumb, LICSW, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Lowell, MA
National Provider Identifier
1295856045
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
543 Issued in NH
Practice address
650 Suffolk St
Lowell, MA 01854-3642
Phone
(978) 452-5155
Fax
(978) 970-0713
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 543 NH Primary
Clinical Social Worker 1041C0700X 110269 MA

Addresses

Primary practice location

650 Suffolk St
Lowell, MA 01854-3642

Mailing address

35 Brenda LN
Merrimack, NH 03054-2533
Phone (603) 424-1668

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
I20220830003526 NH Practitioner - Clinical Social Worker 7517341266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrimack Valley Counseling AssociationGroup PAC ID 1557325172, 11 clinicians

Practice addresses (Care Compare)

39 Simon St
Suite 2a
Nashua, NH 03060-3046
Phone (603) 888-4347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
543NHMDAddiction (Substance Use Disorder) Counselor
110269MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Merrimack Valley Counseling Association Clinical CurrentSince Jul 14, 2022 Accepting new patients
Habit Cpco Inc Addiction (Substance Use Disorder) Past Accepting new patients

Locations

39 Simon St
Ste 2
Nashua, NH 03060

39 Simon St
Ste 2A
Nashua, NH 03060
Phone (603) 888-4347

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1295856045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BRENDA LN",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030542533",
            "telephone_number": "603-424-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SUFFOLK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543642",
            "telephone_number": "978-452-5155",
            "fax_number": "978-970-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "BRYAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LICSW, LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "543",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.