Active NPI
Kathleen M Bruce
- Mental Health Counselor
- Keene, NH
National Provider Identifier
1578064952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2718
- Practice address
- 40 Avon St
Keene, NH 03431-3516 - Phone
- (603) 357-4400
- Fax
- (603) 357-9648
- NPI assigned
- Feb 22, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Mental Health Counselor | 101YM0800X | 2718 | NH | Primary |
Addresses
Primary practice location
40 Avon St
Keene, NH 03431-3516
Mailing address
64 Main St
Keene, NH 03431-3701
Phone (603) 283-1570
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231109000220 | NH | Practitioner - Clinical Social Worker | 3577910736 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2718 | NH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Associates of New London PLLC | Mental Health | Current | Accepting new patients |
| Monadnock Family Services | Current | Accepting new patients |
Locations
40 Avon St
Keene, NH 03431
Phone (603) 352-1024
64 Main St
Ste 301
Keene, NH 03431
Phone (603) 357-6878
35 Newport Rd
New London, NH 03257
Phone (603) 526-4230
64 Main St
North Swanzey, NH 03431
Phone (603) 283-1500
Organizations & group practices 2
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.
-
- Mental Health Counselor
- New London, NH
- NPI 1205055365
Mental Health, NH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1578064952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 MAIN ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034313701",
"telephone_number": "603-283-1570",
"fax_number": "603-357-9648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 AVON ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034313516",
"telephone_number": "603-357-4400",
"fax_number": "603-357-9648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "KATHLEEN",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "2718",
"primary": true
}
],
"identifiers": [],
"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 Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.