Individual provider Active NPI

Harriet G Resnicoff, LICSW

  • Mental Health Counselor
  • Concord, NH
National Provider Identifier
1740330232
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NH405 Issued in NH
Practice address
85 Warren St
Concord, NH 03301-3837
Phone
(603) 224-2841
Fax
(603) 228-6018
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NH405 NH Primary

Addresses

Primary practice location

85 Warren St
Concord, NH 03301-3837

Mailing address

85 Warren St
Concord, NH 03301-3837
Phone (603) 228-1090

Other identifiers 2

IdentifierTypeStateIssuer
30007368MedicaidNH
RESN686481OtherNHANTHEM BLUE CROSS

Other names 1

  • Ms. Harriet A Gellman Former name

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

LicenseStateTypeSpecialty
NH405NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740330232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 WARREN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013837",
            "telephone_number": "603-228-1090",
            "fax_number": "603-228-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WARREN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013837",
            "telephone_number": "603-224-2841",
            "fax_number": "603-228-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICOFF",
        "first_name": "HARRIET",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "NH405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007368",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "RESN686481",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARRIET",
            "last_name": "GELLMAN",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former 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 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.

Verify at the official NPI Registry.