Jacqueline Abikoff, LICSW, M LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

109 Issued in NH

Practice address

25 Country Club Rd
Suite 705
Gilford, NH 03249-6972

Phone

(603) 524-8005

Fax

(603) 524-7275

NPI assigned

Jan 8, 2007

Last updated

Nov 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horizons Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Gilford, NH
  • NPI 1659411312

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1700934742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COUNTRY CLUB RD",
            "address_2": "SUITE 705",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496972",
            "telephone_number": "603-524-8005",
            "fax_number": "603-524-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COUNTRY CLUB RD",
            "address_2": "SUITE 705",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496972",
            "telephone_number": "603-524-8005",
            "fax_number": "603-524-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIKOFF",
        "first_name": "JACQUELINE",
        "credential": "LICSW, M LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "109",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007637",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Aldridge, PT, MS, DPT
• Anne Marie Annis, RDH
• Arbor Dental Services
• Ashleigh and Chandler Jones PC (Lakes Region Dental Care)
• David J Ausevich

• Addiction (Substance Use Disorder) Counselor in Gilford, NH
• Providers in Gilford, NH by specialty
• Addiction (Substance Use Disorder) Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.