Active NPI
Sue Ann Vanden Bosch, LCMHC
- Mental Health Counselor
- Keene, NH
National Provider Identifier
1669780441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 752
- Practice address
- 106 Roxbury St
Keene, NH 03431-3816 - Phone
- (603) 358-4041
- Fax
- (603) 358-6527
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 752 | NH | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 752 | NH |
Addresses
Primary practice location
106 Roxbury St
Keene, NH 03431-3816
Mailing address
1145 Sagamore Ave
Portsmouth, NH 03801-5503
Phone (603) 431-6703
Other practice location 1
1145 Sagamore Ave
Portsmouth, NH 03801-5503
Phone (603) 431-6703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3078870 | Medicaid | NH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Mental Health Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portsmouth, NH
- NPI 1013092857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669780441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 SAGAMORE AVE",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038015503",
"telephone_number": "603-431-6703",
"fax_number": "603-430-3753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 ROXBURY ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034313816",
"telephone_number": "603-358-4041",
"fax_number": "603-358-6527"
}
],
"practiceLocations": [
{
"address_1": "1145 Sagamore Ave",
"address_purpose": "LOCATION",
"city": "Portsmouth",
"state": "NH",
"postal_code": "038015503",
"country_code": "US",
"telephone_number": "603-431-6703",
"fax_number": "603-430-3753",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDEN BOSCH",
"first_name": "SUE",
"middle_name": "ANN",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "752",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "752",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3078870",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.