Organization Active NPI

Middle Path Counseling, LLC

  • Community/Behavioral Health Agency
  • Amherst, NH
National Provider Identifier
1508410440
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIDDLE PATH COUNSELING, LLC
Practice address
12 Middle St
Amherst, NH 03031-2950
Phone
(978) 254-1135
NPI assigned
Jul 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Authorized official

Name
Jacqueline M Pollner, LCMHCNPI 1538480488
Title
Psychotherapist
Phone
(978) 254-1135

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

12 Middle St
Amherst, NH 03031-2950

Mailing address

12 Middle St
Amherst, NH 03031-2950
Phone (978) 254-1135

Other practice location 1

80 Palomino Ln Ste 101
Bedford, NH 03110-6447
Phone (603) 568-5128

Other identifiers 1

IdentifierTypeStateIssuer
3101123MedicaidNH

National Provider Directory

National Provider Directory

Locations

12 Middle St
Amherst, NH 03031
Phone (603) 309-2037

80 Palomino Ln
Ste 101
Bedford, NH 03110
Phone (603) 315-7936

Practitioners & affiliated clinicians

Practitioners 1

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": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1508410440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MIDDLE ST",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312950",
            "telephone_number": "978-254-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MIDDLE ST",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312950",
            "telephone_number": "978-254-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Palomino Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "NH",
            "postal_code": "031106447",
            "country_code": "US",
            "telephone_number": "603-568-5128",
            "fax_number": "603-606-1032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDDLE PATH COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "POLLNER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "978-254-1135",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3101123",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.