Organization Active NPI

Community Improvement Associates, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Keene, NH
National Provider Identifier
1467688218
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
COMMUNITY IMPROVEMENT ASSOCIATES, INC
Practice address
160 Emerald St Ste 203
Keene, NH 03431-3619
Phone
(603) 352-1016
Fax
(603) 352-1018
NPI assigned
Jun 8, 2009
Last updated
Feb 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Authorized official

Name
Mr. Quentin R. Estey Jr., CRSWNPI 1982009213
Title
Ceo
Phone
(603) 352-1016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

160 Emerald St Ste 203
Keene, NH 03431-3619

Mailing address

170 Emerald St Ste 203
Keene, NH 03431-3663
Phone (603) 352-1016

Other identifiers 1

IdentifierTypeStateIssuer
3099729MedicaidNH

Other names 1

  • Mountain Wellness Associates Other name

National Provider Directory

National Provider Directory

Locations

155 Washington St
Keene, NH 03431
Phone (603) 283-0195

160 Emerald St
Ste 203
Keene, NH 03431
Phone (603) 352-1016

170 Emerald St
Ste 203
Keene, NH 03431
Phone (603) 352-1016

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1467688218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 EMERALD ST STE 203",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313663",
            "telephone_number": "603-352-1016",
            "fax_number": "603-352-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 EMERALD ST STE 203",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313619",
            "telephone_number": "603-352-1016",
            "fax_number": "603-352-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY IMPROVEMENT ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "ESTEY",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-352-1016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CRSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3099729",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Wellness Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Keene, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.