Abigael Davina Eastman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

293 Stark Hwy N
Dunbarton, NH 03046-4715

Phone

(603) 229-7260

NPI assigned

Jun 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SB Transitional Sub LLCGroup PAC ID 7911315379, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• SB Transitional Sub, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1962091173

  MA

  Medicare reassignment Care Compare group NPD
• Abigael Eastman Counseling Services

  • Mental Health Counselor
  • Concord, NH
  • NPI 1619615390

  Mental Health

  NPD Authorized official
• South Bay Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1023096864
  NPD (past)

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1700268752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 STARK HWY N",
            "city": "DUNBARTON",
            "state": "NH",
            "postal_code": "030464715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 STARK HWY N",
            "city": "DUNBARTON",
            "state": "NH",
            "postal_code": "030464715",
            "telephone_number": "603-229-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Erdman Way",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Leominster",
            "state": "MA",
            "postal_code": "014531840",
            "country_code": "US",
            "telephone_number": "978-870-1840 x1019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57 School St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033013930",
            "country_code": "US",
            "telephone_number": "603-229-7260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "ABIGAEL",
        "middle_name": "DAVINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana James Lemire, CRSW
• Andrew Edan Pascarella
• Judith A Tardif
• Town of Dunbarton
• Barbara Douglass Weeks, M.ED., OTR/L

• All providers in Dunbarton, NH
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.