Active NPI
Michele M Brannan, LICENSED CLINICAL ME
- Mental Health Counselor
- Bedford, NH
National Provider Identifier
1790859262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 24
- Practice address
- 360 Rte 101
Suite 10
Bedford, NH 03110 - Phone
- (603) 472-8657
- Fax
- (603) 672-4546
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 24 | NH | Primary |
Addresses
Primary practice location
360 Rte 101
Suite 10
Bedford, NH 03110
Mailing address
PO Box 401
Amherst, NH 03031
Phone (603) 472-8657
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29370 | Other | NATIONAL BOARD OF CERTIFI | |
| 80009139 | Medicaid | NH | |
| 24 | Other | NH | BOARD OF PSYCHOLOGY & MEN |
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 Engineering
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790859262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 401",
"city": "AMHERST",
"state": "NH",
"postal_code": "03031",
"telephone_number": "603-472-8657",
"fax_number": "603-672-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 RTE 101",
"address_2": "SUITE 10",
"city": "BEDFORD",
"state": "NH",
"postal_code": "03110",
"telephone_number": "603-472-8657",
"fax_number": "603-672-4546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNAN",
"first_name": "MICHELE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LICENSED CLINICAL ME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "24",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD OF CERTIFI",
"identifier": "29370",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80009139",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PSYCHOLOGY & MEN",
"identifier": "24",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, 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.