Active NPI
John Mokkosian, D. MIN.
- Pastoral Counselor
- Salem, NH
National Provider Identifier
1447309109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 54
- Practice address
- 130 Main St
Suite 204
Salem, NH 03079-3176 - Phone
- (603) 890-6767
- Fax
- (603) 893-6767
- NPI assigned
- Jan 10, 2007
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 54 | NH | Primary |
Addresses
Primary practice location
130 Main St
Suite 204
Salem, NH 03079-3176
Mailing address
39 Lucille Ave
Salem, NH 03079-2055
Phone (603) 893-5181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30009668 | Medicaid | NH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447309109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 LUCILLE AVE",
"city": "SALEM",
"state": "NH",
"postal_code": "030792055",
"telephone_number": "603-893-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAIN ST",
"address_2": "SUITE 204",
"city": "SALEM",
"state": "NH",
"postal_code": "030793176",
"telephone_number": "603-890-6767",
"fax_number": "603-893-6767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKKOSIAN",
"first_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D. MIN.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NH",
"license": "54",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30009668",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.