Olde Port Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

OLDE PORT COUNSELING, PLLC

Practice address

406 The HL
Portsmouth, NH 03801-3736

Phone

(978) 432-9560

NPI assigned

May 1, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Fowler, LMFTNPI 1053662163

Title

Member

Phone

(603) 531-8811

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Fowler, MS

  • Marriage & Family Therapist
  • Portsmouth, NH
  • NPI 1053662163
  NPD Authorized official

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1528622909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 THE HL",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 THE HL",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013736",
            "telephone_number": "978-432-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDE PORT COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-531-8811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078870",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Lynne Odor, NP-C
• Ori Offenbach Ofek, MD
• Christine Haeyoung Oh
• Oi Infusion Services LLC
• Olufunmilola Jasmine Olatilu
• Nadiya Oleksiv, O.D.
• Matthew Cole Oliff, MD
• Steven Thomas Olive, M.D.
• Maria Olivier, RN
• Hanad Omar, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.