NPIMap

Organization Active NPI

Capital Valley Counseling Associates, LLC

  • Clinical Social Worker
  • Concord, NH
National Provider Identifier
1710529037
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAPITAL VALLEY COUNSELING ASSOCIATES, LLC
Practice address
8 Centre St Ste 2
Concord, NH 03301-6302
Phone
(603) 288-7300
Fax
(603) 228-7301
NPI assigned
Oct 9, 2019
Last updated
Oct 9, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
020474816As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Authorized official

Name
Carol Leonard Sobelson, LICSW
Title
Partner
Phone
(603) 228-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

8 Centre St Ste 2
Concord, NH 03301-6302

Mailing address

8 Centre St Ste 2
Concord, NH 03301-6302
Phone (603) 288-7300

Other identifiers 3

IdentifierTypeStateIssuer
1403519Y0NH02OtherNHANTHEM BLUE CROSS BLUE SHIELD
1036802OtherCIGNA
30426597MedicaidNH

Other names 1

  • Capital Valley Counseling Associates, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200210000362 NH Part B Supplier - Clinic/Group Practice 0547696627 Receives reassigned benefits from 5 practitioners
Practice locations: Concord, NH

National Provider Directory

National Provider Directory
Part of
Capital Valley Counseling Associates LLC

Locations

8 Centre St
#2
Concord, NH 03301
Phone (603) 228-7300

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1710529037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CENTRE ST STE 2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033016302",
            "telephone_number": "603-288-7300",
            "fax_number": "603-228-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CENTRE ST STE 2",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033016302",
            "telephone_number": "603-288-7300",
            "fax_number": "603-228-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL VALLEY COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "020474816",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "SOBELSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "603-228-7300",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "1403519Y0NH02",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1036802",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30426597",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Valley Counseling Associates, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.