Individual provider Active NPI

Sarah Beth Mazzola, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Laconia, NH
National Provider Identifier
1417689209
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2270701 Issued in NH
Practice address
745 N Main St
Laconia, NH 03246-2715
Phone
(603) 413-2750
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2270701 NH Primary

Addresses

Primary practice location

745 N Main St
Laconia, NH 03246-2715

Mailing address

PO Box 6058
Laconia, NH 03247-6058
Phone (603) 918-1735

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarah.spill@comcast.net

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709004480 NH Practitioner - Nurse Practitioner 3173037256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center State Wellness LLCGroup PAC ID 4385077577, 5 clinicians

Practice addresses (Care Compare)

60 Commercial St
Suite 303
Concord, NH 03301-5096
Phone (603) 556-7101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2270701NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Belknap Project Associates LLC CurrentSince Jul 16, 2023 Accepting new patients
Big Lake Behavioral, PLLC Psychiatric/Mental Health CurrentSince Oct 29, 2023 Accepting new patients
Center State Wellness LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

60 Commercial St
Ste 303
Concord, NH 03301
Phone (603) 223-8145

745 N Main St
Laconia, NH 03246
Phone (603) 413-2750

Organizations & group practices 3

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1417689209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6058",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032476058",
            "telephone_number": "603-918-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 N MAIN ST",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462715",
            "telephone_number": "603-413-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZOLA",
        "first_name": "SARAH",
        "middle_name": "BETH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "2270701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.spill@comcast.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "8 Linden Ln",
            "city": "Hampton",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038421526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.