Active NPI
Constance E Flagg, LADC
- Addiction (Substance Use Disorder) Counselor
- Keene, NH
National Provider Identifier
1538525472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 352
- Practice address
- 33 West St
Keene, NH 03431-3361 - Phone
- (603) 355-0160
- Fax
- (603) 355-0159
- NPI assigned
- Jan 7, 2016
- Last updated
- Jan 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 352 | NH | Primary |
Addresses
Primary practice location
33 West St
Keene, NH 03431-3361
Mailing address
33 West St
Keene, NH 03431-3361
Phone (603) 355-0160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 352 | Other | NH | BOARD OF LICENSING FOR ALCOHOL AND OTHER DRUG USE PROFESSIONALS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 352 | NH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Cheshire | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Keene, NH
- NPI 1720444714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1538525472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 WEST ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034313361",
"telephone_number": "603-355-0160",
"fax_number": "603-355-0159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 WEST ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034313361",
"telephone_number": "603-355-0160",
"fax_number": "603-355-0159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAGG",
"first_name": "CONSTANCE",
"middle_name": "E",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-07",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF LICENSING FOR ALCOHOL AND OTHER DRUG USE PROFESSIONALS",
"identifier": "352",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.