Individual provider Active NPI

Ellen Papanikolaou, LCMHC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1851485593
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
645 Issued in NH
Practice address
1361 Elm St
Suite #400
Manchester, NH 03101-1324
Phone
(603) 232-6987
Fax
(603) 935-9056
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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 645 NH Primary

Addresses

Primary practice location

1361 Elm St
Suite #400
Manchester, NH 03101-1324

Mailing address

1361 Elm Street
Suite #400
Manchester, NH 03101
Phone (603) 232-6987

Other identifiers 5

IdentifierTypeStateIssuer
2200521OtherNHCIGNA
30426170MedicaidNH
515322152OtherHARVARD PILGRIM UBH
9040163OtherAETNA
7706660Y0NH01OtherNHBLUE CROSS

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
I20240417003071 NH Practitioner - Mental Health Counselor 2567689029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novus Vita Counseling PLLCGroup PAC ID 1254558711, 9 clinicians

Practice addresses (Care Compare)

69 Bay St
Manchester, NH 03104-3005
Phone (603) 232-6987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
645NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Vita Counseling, PLLC Mental Health CurrentSince Jul 10, 2014 Accepting new patients

Locations

69 Bay St
Manchester, NH 03104
Phone (603) 232-6987

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1851485593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 ELM STREET",
            "address_2": "SUITE #400",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "03101",
            "telephone_number": "603-232-6987",
            "fax_number": "603-935-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 ELM ST",
            "address_2": "SUITE #400",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011324",
            "telephone_number": "603-232-6987",
            "fax_number": "603-935-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPANIKOLAOU",
        "first_name": "ELLEN",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2200521",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30426170",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM UBH",
            "identifier": "515322152",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9040163",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "7706660Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.