Active NPI
Kathleen E Wilbur, LCMHC
- Mental Health Counselor
- Nashua, NH
National Provider Identifier
1730227265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 80
- Practice address
- 39 Simon St
Unit 2a Merrimack Valley Counseling Assoc
Nashua, NH 03060 - Phone
- (603) 888-4347
- Fax
- (603) 577-9157
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 80 | NH | Primary |
| Mental Health Counselor | 101YM0800X | 4211 | MA |
Addresses
Primary practice location
39 Simon St
Unit 2a Merrimack Valley Counseling Assoc
Nashua, NH 03060
Mailing address
39 Simon St
Unit 2a Merrimack Valley Counseling Assoc
Nashua, NH 03060
Phone (603) 888-4347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30420614 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4211 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eren Kurtay-Sozmen, MD | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nashua, NH
- NPI 1306005848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730227265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 SIMON ST",
"address_2": "UNIT 2A MERRIMACK VALLEY COUNSELING ASSOC",
"city": "NASHUA",
"state": "NH",
"postal_code": "03060",
"telephone_number": "603-888-4347",
"fax_number": "603-577-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 SIMON ST",
"address_2": "UNIT 2A MERRIMACK VALLEY COUNSELING ASSOC",
"city": "NASHUA",
"state": "NH",
"postal_code": "03060",
"telephone_number": "603-888-4347",
"fax_number": "603-577-9157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILBUR",
"first_name": "KATHLEEN",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "80",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "4211",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30420614",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.