Active NPI
Kimberly Haley
- Addiction (Substance Use Disorder) Counselor
- Concord, NH
National Provider Identifier
1679972095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0347
- Practice address
- 90 Airport Rd
Suite 19
Concord, NH 03301-5326 - Phone
- (603) 998-4210
- NPI assigned
- Aug 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0347 | NH | Primary |
Addresses
Primary practice location
90 Airport Rd
Suite 19
Concord, NH 03301-5326
Mailing address
90 Airport Rd
Suite 19
Concord, NH 03301-5326
Phone (603) 998-4210
Other names 1
- Kimberly Page
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 |
|---|---|---|---|
| 0347 | NH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408579200000",
"number": "1679972095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 AIRPORT RD",
"address_2": "SUITE 19",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015326",
"telephone_number": "603-998-4210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 AIRPORT RD",
"address_2": "SUITE 19",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015326",
"telephone_number": "603-998-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "0347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "PAGE",
"credential": "MLADC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.