Ian Detamore, LCMHC, NCC
Individual provider Active NPI Mental Health Counselor · Plymouth, NH
NPI 1740107374 · NPPES record last updated Jul 3, 2026
Key facts
- NPI
- 1740107374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 872 (NH)
- Practice address
- PO Box 328
Plymouth, NH 03264-0328 - Phone
- (603) 960-0329
- NPI assigned
- Jul 3, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 872 | NH | Yes |
Addresses
Primary practice location
PO Box 328
Plymouth, NH 03264-0328
Mailing address
PO Box 328
Plymouth, NH 03264-0328
Phone (603) 960-0329
Other practice location 1
350 Main St
Plymouth, NH 03264-4502
Phone (603) 960-0329
Other practice location 2
1765 Route 25
Rumney, NH 03266-3341
Phone (603) 960-0329
Other providers in Plymouth, NH
- John D Davies
- Medora Decoteau
- Joseph Demers
- David Desalvo
- Joshua James Desclos
- Kimberly Jean Di Salvo
- Vu V Dinh
- Cecilia Lynch Disney
- Elizabeth Disney
- Ruth Alexander Doane
All providers in Plymouth, NH · Mental Health Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.