Individual provider Active NPI

Jamie Lyn Faulhaber, LCMHC

  • Mental Health Counselor
  • Bedford, NH
National Provider Identifier
1598353070
Registry record updated Jan 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2207 Issued in NH
Practice address
258 S River Rd
Bedford, NH 03110-6822
Phone
(603) 714-9646
Fax
(603) 218-6187
NPI assigned
Jan 9, 2021
Last updated
Jan 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2207 NH Primary

Addresses

Primary practice location

258 S River Rd
Bedford, NH 03110-6822

Mailing address

2 Dunnmoore Dr
Bow, NH 03304-3828
Phone (603) 724-3698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Delaware, Inc CurrentSince Dec 2, 2024 Accepting new patients
Optum Behavioral Care of Delaware, Inc. CurrentSince Dec 2, 2024 Accepting new patients

Locations

25 S River Rd
Ste 307
Bedford, NH 03110
Phone (603) 242-2296

11 Court St
Ste 210
Exeter, NH 03833
Phone (603) 242-2296

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1598353070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DUNNMOORE DR",
            "city": "BOW",
            "state": "NH",
            "postal_code": "033043828",
            "telephone_number": "603-724-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106822",
            "telephone_number": "603-714-9646",
            "fax_number": "603-218-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULHABER",
        "first_name": "JAMIE",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.