Individual provider Active NPI

Barnes Peterson, LCMHC

  • Mental Health Counselor
  • Keene, NH
National Provider Identifier
1821110594
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
128 Issued in NH
Practice address
161 Main St
Suite 200
Keene, NH 03431-3772
Phone
(603) 357-3093
Fax
(603) 357-7810
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

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 128 NH Primary

Addresses

Primary practice location

161 Main St
Suite 200
Keene, NH 03431-3772

Mailing address

215 Myrtle St
Manchester, NH 03104-4354
Phone (603) 668-0014

Other identifiers 6

IdentifierTypeStateIssuer
1041623OtherNHCIGNA
5396216OtherNHUBH PACIFICARE
14Y000949NH01OtherNHWELLPOINT BHN
30420622MedicaidNH
1011130OtherVTVT MEDICAID
11718745OtherNHCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313000697 NH Practitioner - Mental Health Counselor 5597286070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maps Counseling Services IncGroup PAC ID 8628061660, 13 clinicians

Practice addresses (Care Compare)

23 Central SQ
Suite 300
Keene, NH 03431-3707
Phone (603) 355-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
128NHMDMental Health Counselor
4856NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NH Catholic Charities Inc Mental Health Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821110594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MYRTLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044354",
            "telephone_number": "603-668-0014",
            "fax_number": "603-623-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MAIN ST",
            "address_2": "SUITE 200",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313772",
            "telephone_number": "603-357-3093",
            "fax_number": "603-357-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BARNES",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1041623",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH PACIFICARE",
            "identifier": "5396216",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPOINT BHN",
            "identifier": "14Y000949NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30420622",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT MEDICAID",
            "identifier": "1011130",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11718745",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.