Individual provider Active NPI

Christine M McKenna, MLADC

  • Addiction (Substance Use Disorder) Counselor
  • Exeter, NH
National Provider Identifier
1871093971
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0581 Issued in NH
Practice address
133 Epping Rd Unit B
Exeter, NH 03833-1547
Phone
(603) 658-0188
Fax
(603) 418-7099
NPI assigned
Feb 15, 2018
Last updated
Feb 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0581 NH Primary

Addresses

Primary practice location

133 Epping Rd Unit B
Exeter, NH 03833-1547

Mailing address

133 Epping Rd Unit B
Exeter, NH 03833-1547
Phone (603) 658-0188

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
I20250313003097 NH Practitioner - Clinical Social Worker 2860914306 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0581NHMDOccupational Therapy Assistant
2272NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Homes, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Harbor Homes, Inc Addiction (Substance Use Disorder) CurrentSince Jan 13, 2025 Accepting new patients
Harbor Homes, Inc Addiction (Substance Use Disorder) PastSince Dec 3, 2023 Accepting new patients
Harbor Homes, Inc. Past Accepting new patients

Locations

45 High St
Nashua, NH 03060
Phone (603) 821-7788

615 Amherst St
Nashua, NH 03063
Phone (603) 821-7788

77 Northeastern Blvd
Nashua, NH 03062
Phone (603) 882-3616

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1871093971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 EPPING RD UNIT B",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038331547",
            "telephone_number": "603-658-0188",
            "fax_number": "603-418-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 EPPING RD UNIT B",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038331547",
            "telephone_number": "603-658-0188",
            "fax_number": "603-418-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "MLADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-15",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "0581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.