Individual provider Active NPI

Kathleen Anne Nielsen, APRN BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Concord, NH
National Provider Identifier
1700970837
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
26NC05144300 Issued in NJ
Practice address
10 West St
Concord, NH 03301-3548
Phone
(603) 225-0123
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 45382 WY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 093527-23 NH
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 26NC05144300 NJ Primary

Addresses

Primary practice location

10 West St
Concord, NH 03301-3548

Mailing address

29 School St
Concord, NH 03301-4033
Phone (603) 226-7505

Other practice location 1

748 Main St
Lander, WY 82520-3036
Phone (307) 332-2231

Other practice location 2

507 N Clark St
Powell, WY 82435-1915
Phone (307) 754-7970

Other identifiers 1

IdentifierTypeStateIssuer
8483400MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211117001943 WY Practitioner - Certified Clinical Nurse Specialist (CNS) 5799712907 Reassigns benefits to 2 organizations
I20260615000819 NH Practitioner - Nurse Practitioner 5799712907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverbend Community Mental Health, IncGroup PAC ID 6103815584, 39 clinicians
Fremont Counseling ServiceGroup PAC ID 3476535105, 8 clinicians

Practice addresses (Care Compare)

10 W St
Concord, NH 03301-3548
Phone (603) 225-0123

748 Main St
Lander, WY 82520-3036
Phone (307) 332-2231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
093527-23NHMDPsychiatric/Mental Health Nurse Practitioner
45382WYMDPsychiatric/Mental Health Nurse Practitioner
26NC05144300NJMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont Counseling Service CurrentSince Aug 11, 2021 Accepting new patients
Fremont County Behavioral Health Current Accepting new patients
Positive Progressions, LLC CurrentSince Jul 4, 2023 Accepting new patients
Chrysalis Treatment Center, Inc. Past Accepting new patients
Vitruvian Behavioral Health, PC Past Accepting new patients
Riverbend Community Mental Health, Inc. PastSince Jan 12, 2025 Accepting new patients

Locations

748 Main St
Lander, WY 82520
Phone (307) 332-2231

507 N Clark St
Powell, WY 82435
Phone (307) 754-7970

1110 Major Ave
Riverton, WY 82501
Phone (307) 332-2231

401 S 23rd St
Worland, WY 82401
Phone (307) 347-6165

Organizations & group practices 6

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1700970837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SCHOOL ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014033",
            "telephone_number": "603-226-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEST ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013548",
            "telephone_number": "603-225-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "748 Main St",
            "address_purpose": "LOCATION",
            "city": "Lander",
            "state": "WY",
            "postal_code": "825203036",
            "country_code": "US",
            "telephone_number": "307-332-2231",
            "fax_number": "307-332-9338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "507 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "WY",
            "postal_code": "824351915",
            "country_code": "US",
            "telephone_number": "307-754-7970",
            "fax_number": "307-333-0470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "APRN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WY",
            "license": "45382",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "093527-23",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NC05144300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8483400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.