Theo Baars IV, CRSW

Key facts

NPI

1689398489

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor 101YA0400X

Practice address

660 Chestnut St
Manchester, NH 03104-3550

Phone

(603) 722-9492

NPI assigned

Sep 27, 2022

Sex

Male

Sole proprietor

No

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.

• Westbridge, Inc. Mental Illness Community Based Residential Treatment Facility · Manchester, NH · NPI 1104050301
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 27, 2022.

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1689398489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 CHESTNUT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043550",
            "telephone_number": "603-722-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 CHESTNUT ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043550",
            "telephone_number": "603-722-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAARS",
        "first_name": "THEO",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "CRSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TBaars@westbridge.org",
            "affiliation": "N",
            "endpointDescription": "TBaars@westbridge.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "660 Chestnut St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031043550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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