Organization Active NPI

The Youth&Child Center for Wellness

  • Mental Health Counselor
  • North Conway, NH
National Provider Identifier
1508151697
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1520 Issued in NH
Legal business name
THE YOUTH&CHILD CENTER FOR WELLNESS
Practice address
170 Kearsarge Rd
North Conway, NH 03860-5331
Phone
(603) 356-4114
NPI assigned
Jun 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Authorized official

Name
Ms. Kristin Honsberger, LCSWNPI 1275859274
Title
Clinical Director
Phone
(603) 356-4114

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1520 NH Primary

Addresses

Primary practice location

170 Kearsarge Rd
North Conway, NH 03860-5331

Mailing address

PO Box 503
North Conway, NH 03860-0503

Other identifiers 1

IdentifierTypeStateIssuer
30428259MedicaidNH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1508151697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038600503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KEARSARGE RD",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038605331",
            "telephone_number": "603-356-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUTH&CHILD CENTER FOR WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "HONSBERGER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "CLINICAL  DIRECTOR",
        "authorized_official_telephone_number": "603-356-4114",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "1520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30428259",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.