Active NPI
Jared Mrvos, LCMHC
- Mental Health Counselor
- Nashua, NH
National Provider Identifier
1376371955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2857
- Practice address
- 21 Factory St
Nashua, NH 03060-3310 - Phone
- (603) 402-3048
- NPI assigned
- Jul 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2857 | NH | Primary |
Addresses
Primary practice location
21 Factory St
Nashua, NH 03060-3310
Mailing address
21 Factory St
Nashua, NH 03060-3310
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Front St
Exeter, NH 03833-2727
Phone (603) 883-0005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2857 | NH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King Healthcare Group LLC | Current | Accepting new patients | |
| The Counseling Center of Nashua Inc | Current | Accepting new patients |
Locations
24 Front St
Exeter, NH 03833
Phone (603) 772-3900
24 Front St
Ste 100
Exeter, NH 03833
Phone (603) 713-5657
21 Factory St
Nashua, NH 03060
Phone (603) 402-3048
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.
-
- Clinical Psychologist
- Nashua, NH
- NPI 1144275389
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Nashua, NH
- NPI 1255817607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1376371955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 FACTORY ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 FACTORY ST",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603310",
"telephone_number": "603-402-3048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MRVOS",
"first_name": "JARED",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "2857",
"primary": true
}
],
"identifiers": [],
"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 Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.