Kimberly Ahlgren, LCMHC, CCBT
Individual provider Active NPI Mental Health Counselor · Manchester, NH
NPI 1497842496 · NPPES record last updated Mar 17, 2021
Key facts
- NPI
- 1497842496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 384 (NH)
- Practice address
- 2 Wall St
Suite 300
Manchester, NH 03101-1518 - Phone
- (603) 668-4111
- Fax
- (603) 628-7757
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Mental Health Center of Greater Manchester
Practice addresses (Care Compare)
401 Cypress St
Manchester, NH 03103-3628
Phone (603) 668-4111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109001489 | NH | Practitioner - Mental Health Counselor | 5395196836 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 384 | NH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mental Health Center of Greater Manchester | Current |
Accepting new patients |
Locations
2 Wall St
Ste 300
Manchester, NH 03101
Phone (603) 668-1111
2 Wall St
Manchester, NH 03101
Phone 6036684111 ext. 6900
401 Cypress St
Manchester, NH 03103
Phone (603) 206-8586
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 384 | NH | Yes |
Addresses
Primary practice location
2 Wall St
Suite 300
Manchester, NH 03101-1518
Mailing address
2 Wall St Ste 300
Manchester, NH 03101-1518
Phone (603) 668-4111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020258994-06 | Other | NH | HARVARD PILGRIM |
| 14Y001164NH01 | Other | NH | BLUE CROSS |
| 2013589 | Other | NH | CIGNA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | TheMentalHealthCenterofGreaterManchester@mhcgm.netsmartdirect.net | Health Information Exchange (HIE) |
Other providers in Manchester, NH
- Natalie Agnew
- Vincent Aguirre
- Thor Agustsson
- Katherine Ahern
- Swapna Ahern
- John A Ahman
- Hassan Ahmed
- Ibrahim Mohammed Ahmed
- Sherif Ahmed
- Ssara Ahmmed
All providers in Manchester, NH · Mental Health Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.