Individual provider Active NPI

Charles Novak, MLADC

  • Addiction (Substance Use Disorder) Counselor
  • Manchester, NH
National Provider Identifier
1538543152
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0954 Issued in NH
Practice address
45 Canton St
3 F
Manchester, NH 03103-3563
Phone
(603) 670-5557
NPI assigned
Jul 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0954 NH
Professional Counselor 101YP2500X 0954 NH
Addiction (Substance Use Disorder) Counselor 101YA0400X 0954 NH Primary

Addresses

Primary practice location

45 Canton St
3 F
Manchester, NH 03103-3563

Mailing address

45 Canton St
3 F
Manchester, NH 03103-3563
Phone (603) 670-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314000930 NH Practitioner - Mental Health Counselor 6507388998 Practice locations: Manchester, NH

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

424 Amherst St
Manchester, NH 03104-5124
Phone (603) 670-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0954NHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Paths Counseling and Recovery Services Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1538543152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CANTON ST",
            "address_2": "3 F",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033563",
            "telephone_number": "603-670-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CANTON ST",
            "address_2": "3 F",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033563",
            "telephone_number": "603-670-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "MLADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-14",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "0954",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NH",
            "license": "0954",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.