Susan H Dalen, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4828 Issued in NH

Practice address

23 S Main St Ste 2a
Hanover, NH 03755-2075

Phone

(603) 353-9412

Fax

(603) 625-8875

NPI assigned

Nov 7, 2024

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Becket Academy, Inc.

  dba Becket Family of Services

  • Foster Care Agency
  • Hanover, NH
  • NPI 1336614478
  NPD

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1598588444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "ORFORD",
            "state": "NH",
            "postal_code": "037770325",
            "telephone_number": "603-353-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S MAIN ST STE 2A",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552075",
            "telephone_number": "603-353-9412",
            "fax_number": "603-625-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEN",
        "first_name": "SUSAN",
        "middle_name": "H",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "4828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Crowell, ATC
• Maureen Cullen, NP
• Kimberly Ann Cusimano, PH.D.
• CVS Manchester NH, L.L.C. (CVS Pharmacy # 05938)
• Liah Megan D'Sa
• Daniel W. Collison MD PLLC (RiverRun Medical Offices)
• Rebecca Sue Daniels, COTA
• Christine Darcy, D.O.
• Tracey J Darling, RDH
• Dartmouth Medical School

• Mental Health Counselor in Hanover, NH
• Providers in Hanover, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.

Verify at the official NPI Registry.