Individual provider Active NPI

Daron V Friedman, MA. LCMHC.LADC

  • Mental Health Counselor
  • Keene, NH
National Provider Identifier
1619168085
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
200 Issued in NH
Practice address
47 Main St Ste 4
Keene, NH 03431-3715
Phone
(603) 762-0268
NPI assigned
Aug 9, 2007
Last updated
Aug 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 585 NH
Mental Health Counselor 101YM0800X 200 NH Primary

Addresses

Primary practice location

47 Main St Ste 4
Keene, NH 03431-3715

Mailing address

39 Central SQ Ste 281
Keene, NH 03431-3703
Phone (603) 762-0268

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260221000164 NH Practitioner - Mental Health Counselor 9537640206 Practice locations: Keene, NH

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 W Diane Dr
Keene, NH 03431-2630

527 Washington St
Keene, NH 03431-2045
Phone (603) 769-0268

63 Emerald St
Keene, NH 03431-3626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
585NHMDAddiction (Substance Use Disorder) Counselor
200NHMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1619168085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 CENTRAL SQ STE 281",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313703",
            "telephone_number": "603-762-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MAIN ST STE 4",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313715",
            "telephone_number": "603-762-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "DARON",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "MA. LCMHC.LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "585",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.