Individual provider Active NPI

Sheila Bartlett Dahl, MA LCMHC

  • Counselor
  • Nashua, NH
National Provider Identifier
1366524399
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
115 Issued in NH
Practice address
29 Northwest Blvd
Slatoff and Ward Psychological
Nashua, NH 03063
Phone
(603) 881-9311
Fax
(603) 595-7772
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 115 NH Primary

Addresses

Primary practice location

29 Northwest Blvd
Slatoff and Ward Psychological
Nashua, NH 03063

Mailing address

29 Northwest Blvd
Fountain Psychological Associates
Nashua, NH 03063
Phone (603) 881-9311

Other identifiers 1

IdentifierTypeStateIssuer
30423786MedicaidNH

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
115NHMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1366524399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NORTHWEST BLVD",
            "address_2": "FOUNTAIN PSYCHOLOGICAL ASSOCIATES",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "telephone_number": "603-881-9311",
            "fax_number": "603-595-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTHWEST BLVD",
            "address_2": "SLATOFF AND WARD PSYCHOLOGICAL",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03063",
            "telephone_number": "603-881-9311",
            "fax_number": "603-595-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "SHEILA",
        "middle_name": "BARTLETT",
        "name_prefix": "Ms.",
        "credential": "MA LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NH",
            "license": "115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30423786",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.