Individual provider Active NPI

Susan Ferrari

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1780716548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCMHC 216 Issued in NH
Practice address
121 Middle St
Manchester, NH 03101-1905
Phone
(603) 627-9588
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

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 LCMHC 216 NH Primary

Addresses

Primary practice location

121 Middle St
Manchester, NH 03101-1905

Mailing address

111 Loon Pond Rd
Gilmanton, NH 03237-5114
Phone (603) 267-8829

Other identifiers 1

IdentifierTypeStateIssuer
30010381MedicaidNH

Other names 1

  • Susan Messina Professional 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCMHC 216NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780716548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LOON POND RD",
            "city": "GILMANTON",
            "state": "NH",
            "postal_code": "032375114",
            "telephone_number": "603-267-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MIDDLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011905",
            "telephone_number": "603-627-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRARI",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "LCMHC 216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010381",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MESSINA",
            "credential": "LCMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Manchester, 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.