White Birch Recovery Services, PLLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0981 Issued in NH

Legal business name

WHITE BIRCH RECOVERY SERVICES, PLLC

Practice address

2 Washington St
Suite 216
Dover, NH 03820-3890

Phone

(603) 235-1489

Fax

(603) 200-3035

NPI assigned

May 12, 2017

Last updated

May 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Eldredge, MSW, MLADCNPI 1194179895

Title

Owner

Phone

(603) 235-1489

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Eldredge, MSW, MLADC

  • Addiction (Substance Use Disorder) Counselor
  • Dover, NH
  • NPI 1194179895
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1548797228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON ST",
            "address_2": "SUITE 216",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203890",
            "telephone_number": "603-235-1489",
            "fax_number": "603-200-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON ST",
            "address_2": "SUITE 216",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203890",
            "telephone_number": "603-235-1489",
            "fax_number": "603-200-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE BIRCH RECOVERY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "ELDREDGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-235-1489",
        "authorized_official_credential": "MSW, MLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3103880",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joelene West, PTA
• Emily Weston, APRN
• Jayanthi Emmanuel Wheeler, MD
• Patricia Wheeler, LCMHC
• White Birch Oral Surgery, PLLC
• Brendan White, DMD
• Elaine White, MS
• Joseph D. White, D.M.D., M.D.
• Kathie A White, LCMHC
• Lucy K White, CNM

• Addiction (Substance Use Disorder) Counselor in Dover, NH
• Providers in Dover, NH by specialty
• Addiction (Substance Use Disorder) Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.