NPIMap

Organization Active NPI

Bedford Family Therapy

  • Clinical Social Worker
  • Bedford, NH
National Provider Identifier
1497099212
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1684 Issued in NH
Legal business name
BEDFORD FAMILY THERAPY
Practice address
10 Commerce Park N Ste 1a
Bedford, NH 03110-6951
Phone
(603) 606-1233
NPI assigned
Nov 16, 2012
Last updated
Nov 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Jessica Infante
Title
Office Manager
Phone
(603) 606-1233

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0820 NH
Clinical Social Worker 1041C0700X 1684 NH Primary

Addresses

Primary practice location

10 Commerce Park N Ste 1a
Bedford, NH 03110-6951

Mailing address

10 Commerce Park N Ste 1a
Bedford, NH 03110-6951
Phone (603) 606-1233

National Provider Directory

National Provider Directory

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": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1497099212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COMMERCE PARK N STE 1A",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106951",
            "telephone_number": "603-606-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COMMERCE PARK N STE 1A",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106951",
            "telephone_number": "603-606-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "INFANTE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-606-1233"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0820",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.