Active NPI
Jean L Stimmell, LCMHC
- Mental Health Counselor
- Northwood, NH
National Provider Identifier
1578596078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 255
- Practice address
- 524 Jenness Pond Rd
Northwood, NH 03261-3111 - Phone
- (603) 942-5889
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 255 | NH | Primary |
Addresses
Primary practice location
524 Jenness Pond Rd
Northwood, NH 03261-3111
Mailing address
524 Jenness Pond Rd
Northwood, NH 03261-3111
Phone (603) 942-5889
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| .114339 | Other | NH | TEAMSTERS BEHAVIORAL HEAL |
| 118708 | Other | NH | BEHAVIORAL HEALTH NETWORK |
| 2163827 | Other | NH | CIGNA BEHAVIORAL HEALTH |
| 14Y001621NH01 | Other | NH | ANTHEM BCBS |
| 30422461 | Medicaid | NH |
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 |
|---|---|---|---|
| 255 | NH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1578596078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 JENNESS POND RD",
"city": "NORTHWOOD",
"state": "NH",
"postal_code": "032613111",
"telephone_number": "603-942-5889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 JENNESS POND RD",
"city": "NORTHWOOD",
"state": "NH",
"postal_code": "032613111",
"telephone_number": "603-942-5889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STIMMELL",
"first_name": "JEAN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LCMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEAMSTERS BEHAVIORAL HEAL",
"identifier": ".114339",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH NETWORK",
"identifier": "118708",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2163827",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "14Y001621NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30422461",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northwood, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.