Organization Active NPI

Cocheco Falls Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dover, NH
National Provider Identifier
1629484654
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
924 Issued in NH
Legal business name
COCHECO FALLS COUNSELING, LLC
Practice address
100 Main St
Suite 143
Dover, NH 03820-3882
Phone
(603) 343-4678
Fax
(603) 343-5324
NPI assigned
Jul 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Mr. Ryan S Chandler, M.ED., LCMHCNPI 1255633202
Title
Owner/Psychotherapist
Phone
(603) 343-4678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 924 NH Primary

Addresses

Primary practice location

100 Main St
Suite 143
Dover, NH 03820-3882

Mailing address

100 Main St
Suite 143
Dover, NH 03820-3882
Phone (603) 343-4678

National Provider Directory

National Provider Directory

Locations

100 Main St
Ste 143
Dover, NH 03820
Phone (603) 343-4678

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1629484654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "address_2": "SUITE 143",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203882",
            "telephone_number": "603-343-4678",
            "fax_number": "603-343-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "address_2": "SUITE 143",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203882",
            "telephone_number": "603-343-4678",
            "fax_number": "603-343-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCHECO FALLS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "603-343-4678",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NH",
            "license": "924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.