Karlotta Shanahan, LCMHC

Individual provider Active NPI Mental Health Counselor · Rye, NH

NPI 1811944952 · NPPES record last updated Dec 10, 2008

Key facts

NPI
1811944952
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
349 (NH)
Practice address
1247 Washington Rd
Rye, NH 03870-2346
Phone
(603) 964-3191
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
349NHMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 349 NH Yes

Addresses

Primary practice location

1247 Washington Rd
Rye, NH 03870-2346

Mailing address

PO Box 95
Rye Beach, NH 03871-0095
Phone (603) 964-3191

Other identifiers

IdentifierTypeStateIssuer
# 30420815MedicaidNH

Other providers in Rye, NH

All providers in Rye, NH · Mental Health Counselor in New Hampshire

Sources for this page

Verify at the official NPI Registry.