Organization Active NPI

All Elements Healing Revolution

  • Health Service Clinic/Center
  • Concord, NH
National Provider Identifier
1760857528
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
6126 M Issued in NH
Legal business name
ALL ELEMENTS HEALING REVOLUTION
Practice address
51 S Main St
Concord, NH 03301-4828
Phone
(603) 225-5554
NPI assigned
Dec 4, 2015
Last updated
Dec 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Authorized official

Name
Mrs. Jessica Gorhan, LMT
Title
Owner
Phone
(603) 225-5554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 6126 M NH Primary

Addresses

Primary practice location

51 S Main St
Concord, NH 03301-4828

Mailing address

51 S Main St
Concord, NH 03301-4828
Phone (603) 225-5554

National Provider Directory

National Provider Directory

Locations

51 S Main St
Concord, NH 03301
Phone (603) 225-5554

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1760857528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 S MAIN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014828",
            "telephone_number": "603-225-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 S MAIN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033014828",
            "telephone_number": "603-225-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ELEMENTS HEALING REVOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "GORHAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-225-5554",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NH",
            "license": "6126 M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 4, 2015; 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.