NPIMap

Organization Active NPI

Lifebalance Counseling Coaching and Wellness PLLC

  • Clinical Social Worker
  • Rochester, NH
National Provider Identifier
1427440239
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIFEBALANCE COUNSELING COACHING AND WELLNESS PLLC
Practice address
323 Gonic Rd Ste 2a
Rochester, NH 03839-5689
Phone
(603) 332-8000
Fax
(603) 601-4476
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Jessica M Pinkham
Title
Manager
Phone
(603) 332-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

323 Gonic Rd Ste 2a
Rochester, NH 03839-5689

Mailing address

323 Gonic Rd Ste 2a
Rochester, NH 03839-5689
Phone (603) 332-8000

Other practice location 1

6 Mary E Clark Dr Ste 6
Hampstead, NH 03841-2288
Phone (603) 332-8000 ext. 51

Other identifiers 1

IdentifierTypeStateIssuer
3101188MedicaidNH

Other names 2

  • Jessica M Pinkham LICSW Former legal business name
  • Jessica M Pinkham Other name

National Provider Directory

National Provider Directory

Locations

6 Mary E Clark Dr
Ste 6
Hampstead, NH 03841
Phone 6033328000 ext. 51

323 Gonic Rd
Ste 5
Rochester, NH 03839
Phone (603) 332-8000

Practitioners & affiliated clinicians

Practitioners 12

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": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1427440239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 GONIC RD STE 2A",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038395689",
            "telephone_number": "603-332-8000",
            "fax_number": "603-601-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 GONIC RD STE 2A",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038395689",
            "telephone_number": "603-332-8000",
            "fax_number": "603-601-4476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Mary E Clark Dr Ste 6",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NH",
            "postal_code": "038412288",
            "country_code": "US",
            "telephone_number": "603-332-8000 x51",
            "fax_number": "603-601-4476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFEBALANCE COUNSELING COACHING AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "PINKHAM",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-332-8000"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101188",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jessica M Pinkham LICSW",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jessica M Pinkham",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Jessica M Pinkham",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rochester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.