Organization Active NPI

Bison Counseling PLLC

  • Clinical Social Worker
  • Manchester, NH
National Provider Identifier
1316685662
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BISON COUNSELING PLLC
Practice address
765 S Main St Ste 104
Manchester, NH 03102-5141
Phone
(603) 696-6314
Fax
(603) 825-7712
NPI assigned
May 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Fitzpatrick, MSWNPI 1134385586
Title
Owner
Phone
(603) 696-6314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

765 S Main St Ste 104
Manchester, NH 03102-5141

Mailing address

765 S Main St Ste 104
Manchester, NH 03102-5141
Phone (603) 696-6314

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL melissa@bisoncounseling.care Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230316002518 NH Part B Supplier - Clinic/Group Practice 2365816204 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, NH

National Provider Directory

National Provider Directory

Locations

10 Tsienneto Rd
Derry, NH 03038
Phone (603) 434-1577

765 S Main St
Ste 104
Manchester, NH 03102
Phone (603) 696-6314

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1316685662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST STE 104",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-696-6314",
            "fax_number": "603-825-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S MAIN ST STE 104",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025141",
            "telephone_number": "603-696-6314",
            "fax_number": "603-825-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISON COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-696-6314",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "melissa@bisoncounseling.care",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "765 S Main St Ste 104",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031025141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.