Individual provider Active NPI

Patricia A Grondin, LCMHC, MS

  • Mental Health Counselor
  • Littleton, NH
National Provider Identifier
1760455877
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
655 Issued in NH
Practice address
229 Cottage St
Littleton, NH 03561-4100
Phone
(603) 444-6465
Fax
(603) 444-6233
NPI assigned
Feb 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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 655 NH Primary

Addresses

Primary practice location

229 Cottage St
Littleton, NH 03561-4100

Mailing address

858 Meadows Rd
Jefferson, NH 03583-6851
Phone (603) 444-6465

Other identifiers 1

IdentifierTypeStateIssuer
30424895MedicaidNH

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
655NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for New Beginnings Mental Health PastSince Jul 6, 2009 Accepting new patients

Organizations & group practices 1

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1760455877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 MEADOWS RD",
            "city": "JEFFERSON",
            "state": "NH",
            "postal_code": "035836851",
            "telephone_number": "603-444-6465",
            "fax_number": "603-444-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 COTTAGE ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614100",
            "telephone_number": "603-444-6465",
            "fax_number": "603-444-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONDIN",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "LCMHC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30424895",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.