NPIMap

Organization Active NPI

Warren Street Family Counseling Assoc Inc

  • Mental Health Counselor
  • Concord, NH
National Provider Identifier
1780754093
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
WARREN STREET FAMILY COUNSELING ASSOC INC
Practice address
33 Warren St
Concord, NH 03301
Phone
(603) 226-1999
Fax
(603) 224-1675
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
C Ann Freese, MA LMHC
Title
President
Phone
(603) 226-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

33 Warren St
Concord, NH 03301

Mailing address

33 Warren St
Concord, NH 03301
Phone (603) 226-1999

Other identifiers 1

IdentifierTypeStateIssuer
326417OtherMHN TRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040630000413 NH Part B Supplier - Clinic/Group Practice 5799762597 Receives reassigned benefits from 14 practitioners
Practice locations: Concord, NH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780754093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WARREN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-226-1999",
            "fax_number": "603-224-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 WARREN ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-226-1999",
            "fax_number": "603-224-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN STREET FAMILY COUNSELING ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREESE",
        "authorized_official_first_name": "C ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-226-1999",
        "authorized_official_credential": "MA LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN TRICARE",
            "identifier": "326417",
            "state": null
        }
    ],
    "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 Aug 22, 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.

Verify at the official NPI Registry.