Granite State Counseling and Assessment, P.L.L.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRANITE STATE COUNSELING AND ASSESSMENT, P.L.L.C.

Practice address

466 Central Ave Ste 8
Dover, NH 03820-6418

Phone

(207) 292-2546

NPI assigned

Apr 5, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Ryan M Long, LCMHC

Title

Principal

Phone

(207) 292-2546

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1841985066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 CENTRAL AVE STE 8",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038206418",
            "telephone_number": "207-292-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 CENTRAL AVE STE 8",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038206418",
            "telephone_number": "207-292-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE STATE COUNSELING AND ASSESSMENT, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "207-292-2546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023286390",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclynne Rose Gowen, PHARMD, BCCP
• Amber Skye Goyette
• Kristen Emma Goyette, RN
• Joseph M Graciano, MD
• Julianne P Graham, PA
• Granite State Health PLLC
• Emily Grant, MT-BC
• Stephanie Emma Grant, FNP-C
• Taryn Grant
• David Michael Gray, M.D.

• Mental Health Counselor in Dover, NH
• Providers in Dover, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.