Kearsarge Valley Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KEARSARGE VALLEY COUNSELING, PLLC

Practice address

136 Stone Bridge Rd
Wilmot, NH 03287-4626

Phone

(802) 230-7760

NPI assigned

Oct 26, 2023

Last updated

Jan 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Wenger, LICSWNPI 1972624971

Title

Owner/Provider

Phone

(802) 230-7760

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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.

• Douglas Wenger, LICSW

  • Clinical Social Worker
  • Loveland, CO
  • NPI 1972624971
  NPD Authorized official

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1740052307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "WILMOT",
            "state": "NH",
            "postal_code": "032870012",
            "telephone_number": "802-230-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 STONE BRIDGE RD",
            "city": "WILMOT",
            "state": "NH",
            "postal_code": "032874626",
            "telephone_number": "802-230-7760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 Maple St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hopkinton",
            "state": "NH",
            "postal_code": "032293377",
            "country_code": "US",
            "telephone_number": "802-230-7760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "276 Newport Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "NH",
            "postal_code": "032575469",
            "country_code": "US",
            "telephone_number": "802-230-7760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEARSARGE VALLEY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2024-01-12",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "WENGER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "802-230-7760",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry L Finnegan
• Genter Healthcare, Inc.
• Donald Ralph Single, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Wilmot, NH
• Providers in Wilmot, NH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.