Individual provider Active NPI

Carissa J Kajenski, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashua, NH
National Provider Identifier
1700294139
Registry record updated Oct 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
054337-23 Issued in NH
Practice address
402 Amherst St Ste 202
Nashua, NH 03063-4227
Phone
(857) 847-5306
Fax
(857) 770-9682
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 054337-23 NH Primary

Addresses

Primary practice location

402 Amherst St Ste 202
Nashua, NH 03063-4227

Mailing address

402 Amherst St Ste 202
Nashua, NH 03063-4227
Phone (857) 847-5306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170224001551 NH Practitioner - Nurse Practitioner 8325322050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Hopeful Mind Mental Health, PLLCGroup PAC ID 9234616939, 2 clinicians

Practice addresses (Care Compare)

104 State Route 101a
Amherst, NH 03031-2211
Phone (857) 847-5306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054337-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopeful Mind Mental Health, PLLC Psychiatric/Mental Health CurrentSince Jul 1, 2017 Accepting new patients

Locations

104 State Route 101A
Ste 8
Amherst, NH 03031

104 State Route 101A
Amherst, NH 03031
Phone (603) 932-4888

402 Amherst St
Ste 202
Nashua, NH 03063
Phone (603) 826-6440

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.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1700294139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 AMHERST ST STE 202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634227",
            "telephone_number": "857-847-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 AMHERST ST STE 202",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634227",
            "telephone_number": "857-847-5306",
            "fax_number": "857-770-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAJENSKI",
        "first_name": "CARISSA",
        "middle_name": "J",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "054337-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.