Active NPI
Jennifer Irene Houston, MLADC, LICSW
- Clinical Social Worker
- Concord, NH
National Provider Identifier
1851922355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2263
- Practice address
- 81 Hall St
Concord, NH 03301-3488 - Phone
- (603) 505-8365
- Fax
- (603) 369-4334
- NPI assigned
- Feb 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0558 | NH | |
| Clinical Social Worker | 1041C0700X | 2263 | NH | Primary |
Addresses
Primary practice location
81 Hall St
Concord, NH 03301-3488
Mailing address
81 Hall St
Concord, NH 03301-3488
Phone (603) 505-8365
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2263 | NH | MD | Pediatric Occupational Therapist |
| 0558 | NH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1851922355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 HALL ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013488",
"telephone_number": "603-505-8365",
"fax_number": "603-369-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 HALL ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033013488",
"telephone_number": "603-505-8365",
"fax_number": "603-369-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSTON",
"first_name": "JENNIFER",
"middle_name": "IRENE",
"name_prefix": "Ms.",
"credential": "MLADC, LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NH",
"license": "0558",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "2263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.