Individual provider Active NPI

Mathew Huusko IV, CRSW

  • Addiction (Substance Use Disorder) Counselor
  • Nashua, NH
National Provider Identifier
1639638760
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0176 Issued in NH
Practice address
12 Amherst St
Nashua, NH 03064-2663
Phone
(603) 263-6444
Fax
(603) 931-3719
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0176 NH Primary

Addresses

Primary practice location

12 Amherst St
Nashua, NH 03064-2663

Mailing address

34 Franklin St Ste LL13
Nashua, NH 03064-2686
Phone (603) 343-6368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0176NHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1639638760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 FRANKLIN ST STE LL13",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030642686",
            "telephone_number": "603-343-6368",
            "fax_number": "603-617-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030642663",
            "telephone_number": "603-263-6444",
            "fax_number": "603-931-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUUSKO",
        "first_name": "MATHEW",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "CRSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.