Active NPI
Martha Scott Hennessey, PH.D.
- Mental Health Counselor
- Lebanon, NH
National Provider Identifier
1861665150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0500
- Practice address
- 367 Route 120
Suite B1
Lebanon, NH 03766-1430 - Phone
- (603) 643-8672
- Fax
- (603) 643-0302
- NPI assigned
- Apr 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0500 | NH | Primary |
| School Psychologist | 103TS0200X | 7060 | NH |
Addresses
Primary practice location
367 Route 120
Suite B1
Lebanon, NH 03766-1430
Mailing address
367 Route 120
Suite B1
Lebanon, NH 03766-1430
Phone (603) 643-8672
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7060 | NH | MD | School Psychologist |
| 0500 | NH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207612800000",
"number": "1861665150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 ROUTE 120",
"address_2": "SUITE B1",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661430",
"telephone_number": "603-643-8672",
"fax_number": "603-643-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 ROUTE 120",
"address_2": "SUITE B1",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661430",
"telephone_number": "603-643-8672",
"fax_number": "603-643-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNESSEY",
"first_name": "MARTHA",
"middle_name": "SCOTT",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "0500",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NH",
"license": "7060",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.