Active NPI
Paul Liam Kiernan, LADC
- Addiction (Substance Use Disorder) Counselor
- Gilford, NH
National Provider Identifier
1679917447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0895
- Practice address
- 25 Country Club Rd Unit 705
Gilford, NH 03249-6977 - Phone
- (603) 706-0336
- NPI assigned
- Apr 24, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0895 | NH | Primary |
Addresses
Primary practice location
25 Country Club Rd Unit 705
Gilford, NH 03249-6977
Mailing address
82 B Rumfod
Concord, NH 03301
Phone (603) 706-0336
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0895 | NH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1679917447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 B RUMFOD",
"city": "CONCORD",
"state": "NH",
"postal_code": "03301",
"telephone_number": "603-706-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 COUNTRY CLUB RD UNIT 705",
"city": "GILFORD",
"state": "NH",
"postal_code": "032496977",
"telephone_number": "603-706-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERNAN",
"first_name": "PAUL",
"middle_name": "LIAM",
"name_prefix": "Mr.",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-24",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "0895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.