Active NPI
Family Tree Counseling LLC
- Mental Health Counselor
- Rindge, NH
National Provider Identifier
1760032809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FAMILY TREE COUNSELING LLC
- Practice address
- 147 Thomas Rd
Rindge, NH 03461-5488 - Phone
- (603) 899-6123
- NPI assigned
- Sep 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Liane E Jablonski, LCMHC
- Title
- Owner
- Phone
- (603) 899-2365
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
147 Thomas Rd
Rindge, NH 03461-5488
Mailing address
147 Thomas Rd
Rindge, NH 03461-5488
Phone (603) 899-6123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240126002125 | NH | Part B Supplier - Clinic/Group Practice | 6406209386 |
Receives reassigned benefits from 1 practitioner Practice locations: Rindge, NH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Rindge, NH
- NPI 1497305114
Mental Health, NH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591920000000",
"number": "1760032809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 THOMAS RD",
"city": "RINDGE",
"state": "NH",
"postal_code": "034615488",
"telephone_number": "603-899-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 THOMAS RD",
"city": "RINDGE",
"state": "NH",
"postal_code": "034615488",
"telephone_number": "603-899-6123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY TREE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-19",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A",
"authorized_official_last_name": "JABLONSKI",
"authorized_official_first_name": "LIANE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "603-899-2365",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rindge, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.