NPIMap

Organization Active NPI

Headrest

  • Addiction (Substance Use Disorder) Counselor
  • Lebanon, NH
National Provider Identifier
1831373356
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
HEADREST
Practice address
141 Mascoma St
Lebanon, NH 03766
Phone
(603) 448-4872
Fax
(603) 727-9353
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Mr. Eric Harbeck Jr., MSW, LCSW, MLADCNPI 1427538479
Title
Clinical Director
Phone
(603) 448-4872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

141 Mascoma St
Lebanon, NH 03766

Mailing address

14 Church Street
Lebanon, NH 03766
Phone (603) 448-4872

Other practice location 1

123 N Main St
Boscawen, NH 03303-1106
Phone (603) 753-8181

Other practice location 2

10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-4872

Other practice location 3

390 Union Ave
Laconia, NH 03246-2871
Phone (603) 753-8181

Other practice location 4

3A Taggart Dr
Nashua, NH 03060-5592
Phone (603) 753-8181

Other practice location 5

121 N Main St
Boscawen, NH 03303-1106
Phone (603) 753-8181

Other practice location 6

14 Church St
Lebanon, NH 03766-1642
Phone (603) 448-4872

Other practice location 7

119 N Main St
Boscawen, NH 03303-1106
Phone (603) 753-8181

Other practice location 8

29B Pleasant St
Claremont, NH 03743-2605
Phone (603) 690-9080

Other identifiers 1

IdentifierTypeStateIssuer
3098319MedicaidNH

National Provider Directory

National Provider Directory
Tax ID family
Headrest2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 N Main St
Boscawen, NH 03303
Phone (603) 753-8181

14 Church St
Lebanon, NH 03766
Phone 6034484872 ext. 117

141 Mascoma St
Lebanon, NH 03766
Phone (603) 448-3996

3H Taggart Dr
Nashua, NH 03060
Phone (603) 682-3692

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1831373356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHURCH STREET",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "603-448-4872",
            "fax_number": "603-448-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MASCOMA ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "603-448-4872",
            "fax_number": "603-727-9353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 N Main St",
            "address_purpose": "LOCATION",
            "city": "Boscawen",
            "state": "NH",
            "postal_code": "033031106",
            "country_code": "US",
            "telephone_number": "603-753-8181",
            "fax_number": "603-753-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Alice Peck Day Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037662900",
            "country_code": "US",
            "telephone_number": "603-448-4872",
            "fax_number": "603-448-1829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032462871",
            "country_code": "US",
            "telephone_number": "603-753-8181",
            "fax_number": "603-753-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3A Taggart Dr",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030605592",
            "country_code": "US",
            "telephone_number": "603-753-8181",
            "fax_number": "603-753-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 N Main St",
            "address_purpose": "LOCATION",
            "city": "Boscawen",
            "state": "NH",
            "postal_code": "033031106",
            "country_code": "US",
            "telephone_number": "603-753-8181",
            "fax_number": "603-753-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Church St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037661642",
            "country_code": "US",
            "telephone_number": "603-448-4872",
            "fax_number": "603-448-1829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 N Main St",
            "address_purpose": "LOCATION",
            "city": "Boscawen",
            "state": "NH",
            "postal_code": "033031106",
            "country_code": "US",
            "telephone_number": "603-753-8181",
            "fax_number": "603-753-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29B Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "NH",
            "postal_code": "037432605",
            "country_code": "US",
            "telephone_number": "603-690-9080",
            "fax_number": "603-727-9353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEADREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "HARBECK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "603-448-4872",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSW, LCSW, MLADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3098319",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.