Active NPI
Ellen Eberhart, MA, LCMHC, MLADC
- Mental Health Counselor
- Hopkinton, NH
National Provider Identifier
1801108303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 756
- Practice address
- 633 Maple St
Suite 2
Hopkinton, NH 03229-3377 - Phone
- (603) 731-4065
- Fax
- (866) 731-0420
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0664 | NH | |
| Mental Health Counselor | 101YM0800X | 756 | NH | Primary |
Addresses
Primary practice location
633 Maple St
Suite 2
Hopkinton, NH 03229-3377
Mailing address
633 Maple St
Suite 2
Hopkinton, NH 03229-3377
Phone (603) 731-4065
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 756 | NH | MD | Mental Health Counselor |
| 0664 | NH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1801108303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 MAPLE ST",
"address_2": "SUITE 2",
"city": "HOPKINTON",
"state": "NH",
"postal_code": "032293377",
"telephone_number": "603-731-4065",
"fax_number": "866-731-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 MAPLE ST",
"address_2": "SUITE 2",
"city": "HOPKINTON",
"state": "NH",
"postal_code": "032293377",
"telephone_number": "603-731-4065",
"fax_number": "866-731-0420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERHART",
"first_name": "ELLEN",
"credential": "MA, LCMHC, MLADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "0664",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinton, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.