Individual provider Active NPI

Kristin Louise Makara, LICSW, MLADC

  • Clinical Social Worker
  • Amherst, NH
National Provider Identifier
1730699257
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2053 Issued in NH
Practice address
3 Overlook Dr # C4
Amherst, NH 03031-2830
Phone
(603) 229-8367
Fax
(603) 213-6778
NPI assigned
Oct 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2053 NH Primary

Addresses

Primary practice location

3 Overlook Dr # C4
Amherst, NH 03031-2830

Mailing address

3 Overlook Dr # C4
Amherst, NH 03031-2830
Phone (603) 229-8367

Other practice location 1

589 W Hollis St
Nashua, NH 03062-1310
Phone (603) 554-7563

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191014000459 NH Practitioner - Clinical Social Worker 2163753765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2053NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Solutions Counseling and Consulting, LLC Clinical Current Accepting new patients
Foundation Medical Partners Inc CurrentSince Sep 13, 2019 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Sep 13, 2019 Accepting new patients

Locations

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

268 Main St
Nashua, NH 03060
Phone (603) 402-2056

22 Cotton Rd
Nashua, NH 03063
Phone (603) 899-6147

Organizations & group practices 3

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": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1730699257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OVERLOOK DR # C4",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312830",
            "telephone_number": "603-229-8367",
            "fax_number": "603-213-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 OVERLOOK DR # C4",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312830",
            "telephone_number": "603-229-8367",
            "fax_number": "603-213-6778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "589 W Hollis St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030621310",
            "country_code": "US",
            "telephone_number": "603-554-7563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKARA",
        "first_name": "KRISTIN",
        "middle_name": "LOUISE",
        "credential": "LICSW, MLADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NH

Sources for this page

Verify at the official NPI Registry.