Individual provider Active NPI

Carol Lyn Gay, M.A., LCMHC, MLADC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1831617125
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
801 Issued in NH
Practice address
250 Commercial St Ste 3004
Manchester, NH 03101-1118
Phone
(603) 668-3050
Fax
(603) 668-8666
NPI assigned
Sep 6, 2017
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1037 NH
Mental Health Counselor 101YM0800X 801 NH Primary

Addresses

Primary practice location

250 Commercial St Ste 3004
Manchester, NH 03101-1118

Mailing address

17 Tenney Rd
Goffstown, NH 03045-3104
Phone (603) 953-3069

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
I20240410003722 NH Practitioner - Mental Health Counselor 6204274152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green House Group PAGroup PAC ID 1153370549, 5 clinicians

Practice addresses (Care Compare)

250 Commercial St
Suite 3004
Manchester, NH 03101-1118
Phone (603) 668-3050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1037NHMDAddiction (Substance Use Disorder) Counselor
801NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Green House Group PA CurrentSince Feb 21, 2024 Accepting new patients
C.R.E.a.T.E. Center for Expressive Arts,Therapy and Education,P.L.L.C. Mental Health PastSince Feb 11, 2013 Accepting new patients

Locations

250 Commercial St
Ste 3004
Manchester, NH 03101
Phone (603) 505-6249

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1831617125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TENNEY RD",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030453104",
            "telephone_number": "603-953-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 COMMERCIAL ST STE 3004",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011118",
            "telephone_number": "603-668-3050",
            "fax_number": "603-668-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAY",
        "first_name": "CAROL",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "M.A., LCMHC, MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1037",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.