Organization Active NPI

Little Bay Counseling, PLLC

  • Clinical Social Worker
  • Greenland, NH
National Provider Identifier
1831915602
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LITTLE BAY COUNSELING, PLLC
Practice address
330 Portsmouth Ave
Greenland, NH 03840-2220
Phone
(603) 207-2197
NPI assigned
Nov 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Susan Gordon, LICSWNPI 1730522913
Title
Owner
Phone
(603) 207-2197

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

330 Portsmouth Ave
Greenland, NH 03840-2220

Mailing address

Little Bay Counseling, PLLC
609 Portsmouth Ave. # 304
Greenland, NH 03840
Phone (603) 207-2197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250926002320 NH Part B Supplier - Clinic/Group Practice 1355846585 Receives reassigned benefits from 1 practitioner
Practice locations: Greenland, NH

National Provider Directory

National Provider Directory

Locations

835 Central Ave
Ste 126
Dover, NH 03820
Phone (603) 652-1091

609 Portsmouth Ave
Unit 304
Greenland, NH 03840

Practitioners & affiliated clinicians

Practitioners 2

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": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1831915602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LITTLE BAY COUNSELING, PLLC",
            "address_2": "609 PORTSMOUTH AVE. # 304",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "03840",
            "telephone_number": "603-207-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PORTSMOUTH AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402220",
            "telephone_number": "603-207-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE BAY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-207-2197",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenland, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.