Organization Active NPI

Calliecoe Counseling PLLC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1629717855
Registry record updated Jun 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CALLIECOE COUNSELING PLLC
Practice address
37 Coburn St
Manchester, NH 03102-4933
Phone
(603) 703-8909
NPI assigned
Jun 4, 2022
Last updated
Jun 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2022

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

Authorized official

Name
Jennifer E Yebba, LCMHC, MLADCNPI 1134404833
Title
Licensed Mental Health Counselor
Phone
(603) 703-8909

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 Counselor 101YM0800X Primary

Addresses

Primary practice location

37 Coburn St
Manchester, NH 03102-4933

Mailing address

37 Coburn St
Manchester, NH 03102-4933
Phone (603) 703-8909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240729003497 NH Part B Supplier - Clinic/Group Practice 3173069952 Receives reassigned benefits from 2 practitioners
Practice locations: Bedford, NH

National Provider Directory

National Provider Directory

Locations

10 Chestnut Dr
Unit K
Bedford, NH 03110
Phone (978) 266-8137

172 Route 101
Unit 26D
Bedford, NH 03110
Phone (978) 308-2193

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654300800000",
    "number": "1629717855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COBURN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024933",
            "telephone_number": "603-703-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 COBURN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024933",
            "telephone_number": "603-703-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALLIECOE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A",
        "authorized_official_last_name": "YEBBA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "603-703-8909",
        "authorized_official_credential": "LCMHC, MLADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.