Jeanette 'Gi' Indoccio, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

681 Issued in NH

Practice address

330 Borthwick Ave
Suite # 111
Portsmouth, NH 03801-4174

Phone

(603) 860-8645

Fax

(603) 343-2172

NPI assigned

Aug 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jeanette White Former name

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

Specialty

Mental Health Counselor

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Counseling Center of Nashua IncGroup PAC ID 3274523758, 250 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Counseling Center of Nashua Inc

  • Clinical Psychologist
  • Nashua, NH
  • NPI 1144275389
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1871787960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE # 111",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-860-8645",
            "fax_number": "603-343-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE",
            "address_2": "SUITE # 111",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014174",
            "telephone_number": "603-860-8645",
            "fax_number": "603-343-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDOCCIO",
        "first_name": "JEANETTE",
        "middle_name": "'GI'",
        "name_prefix": "Ms.",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "WHITE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tracy E. Hutch, LCPC
• Kimberly A Hyer, M.D.
• Brian H Hyett, M.D.
• Izabella Ignaciuk
• Ilara Donarum, O.D., PLLC
• Romane Innis
• Insight-Premier Health LLC
• Integrated Wound Care New Hampshire PLLC
• Integricare, Inc.
• Integricare, Inc.

• Mental Health Counselor in Portsmouth, NH
• Providers in Portsmouth, 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 Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.