Individual provider Active NPI

Tessa Katherine Macgillivary, MS

  • Mental Health Counselor
  • Nashua, NH
National Provider Identifier
1588903124
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
707 Issued in NH
Practice address
76 Northeastern Blvd Unit 28
Nashua, NH 03062
Phone
(603) 402-1999
NPI assigned
Feb 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6982 MA
Mental Health Counselor 101YM0800X 707 NH Primary

Addresses

Primary practice location

76 Northeastern Blvd Unit 28
Nashua, NH 03062

Mailing address

76 Northeastern Blvd Unit 28
Nashua, NH 03062-3174
Phone (603) 402-1999

Other practice location 1

120 Main St Ste 103
Nashua, NH 03060-2707
Phone (603) 402-1999

Other names 1

  • Tessa Katherine Ward Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6982MAMDMental Health Counselor
707NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1588903124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 NORTHEASTERN BLVD UNIT 28",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030623174",
            "telephone_number": "603-402-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NORTHEASTERN BLVD UNIT 28",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "03062",
            "telephone_number": "603-402-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Main St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030602707",
            "country_code": "US",
            "telephone_number": "603-402-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACGILLIVARY",
        "first_name": "TESSA",
        "middle_name": "KATHERINE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "6982",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "WARD",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.