Individual provider Active NPI

Brandon Tetreault-Cohen, BSW

  • Case Manager/Care Coordinator
  • Claremont, NH
National Provider Identifier
1689024671
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
122 Pleasant St
Claremont, NH 03743-2679
Phone
(603) 542-5449
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

122 Pleasant St
Claremont, NH 03743-2679

Mailing address

9 Hanover St Ste 2
Lebanon, NH 03766-1312
Phone (603) 448-0126

Other identifiers 1

IdentifierTypeStateIssuer
307750MedicaidNH

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

OrganizationSpecialtyStatusNew patients
West Central Services, Inc Case Manager/Care Coordinator Past Accepting new patients
West Central Services, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1689024671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HANOVER ST STE 2",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661312",
            "telephone_number": "603-448-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PLEASANT ST",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432679",
            "telephone_number": "603-542-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETREAULT-COHEN",
        "first_name": "BRANDON",
        "credential": "BSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307750",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.