NPIMap

Organization Active NPI

Coastal Counseling Associates

  • Mental Health Counselor
  • Exeter, NH
National Provider Identifier
1326173253
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
136 Issued in NH
Legal business name
COASTAL COUNSELING ASSOCIATES
Practice address
24 Front St Ste 2
Exeter, NH 03833-2727
Phone
(603) 778-0505
NPI assigned
Feb 22, 2007
Last updated
Jan 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Prof. Kathryn Forbes-Fisher, LICSWNPI 1629131115
Title
Partner
Phone
(603) 778-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 136 NH Primary
Clinical Social Worker 1041C0700X 95 NH
Clinical Social Worker 1041C0700X 606 NH
Clinical Social Worker 1041C0700X 94 NH
Clinical Social Worker 1041C0700X 245 NH
Clinical Social Worker 1041C0700X 188 NH

Addresses

Primary practice location

24 Front St Ste 2
Exeter, NH 03833-2727

Mailing address

24 Front St Ste 2
Exeter, NH 03833-2727
Phone (603) 778-0505

Other identifiers 1

IdentifierTypeStateIssuer
30009700MedicaidNH

National Provider Directory

National Provider Directory

Locations

24 Front St
Ste 2
Exeter, NH 03833
Phone (603) 778-0505

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1326173253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRONT ST STE 2",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332727",
            "telephone_number": "603-778-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FRONT ST STE 2",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332727",
            "telephone_number": "603-778-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "FORBES-FISHER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "603-778-0505",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "136",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "95",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "606",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "94",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "245",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "188",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30009700",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.