Individual provider Active NPI

Charles Qualters Sexton-Diranian, LADC II

  • Addiction (Substance Use Disorder) Counselor
  • Nashua, NH
National Provider Identifier
1528696945
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1101 Issued in NH
Practice address
491 Amherst St Ste 105
Nashua, NH 03063-1259
Phone
(603) 965-2567
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14340 MA
Addiction (Substance Use Disorder) Counselor 101YA0400X 1101 NH Primary

Addresses

Primary practice location

491 Amherst St Ste 105
Nashua, NH 03063-1259

Mailing address

8 South St
Townsend, MA 01469-1302
Phone (978) 868-8016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14340MAMDAddiction (Substance Use Disorder) Counselor
1101NHMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1528696945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SOUTH ST",
            "city": "TOWNSEND",
            "state": "MA",
            "postal_code": "014691302",
            "telephone_number": "978-868-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 AMHERST ST STE 105",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631259",
            "telephone_number": "603-965-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXTON-DIRANIAN",
        "first_name": "CHARLES",
        "middle_name": "QUALTERS",
        "name_prefix": "Mr.",
        "credential": "LADC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "14340",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.