Individual provider Active NPI

Maureen McMahon

  • Addiction (Substance Use Disorder) Counselor
  • Manchester, NH
National Provider Identifier
1871879957
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
335 Cypress St
4F
Manchester, NH 03103-3626
Phone
(603) 321-5954
NPI assigned
Nov 2, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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 Primary

Addresses

Primary practice location

335 Cypress St
4F
Manchester, NH 03103-3626

Mailing address

335 Cypress St
4F
Manchester, NH 03103-3626
Phone (603) 321-5954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240227000113 MA Practitioner - Mental Health Counselor 3577908862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elm Tree Clinic, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

12 Wood St
Ste 2
Lowell, MA 01851
Phone (978) 341-4144

390 Pleasant St
Ste A
Malden, MA 02148
Phone (617) 302-3343

21 School St
Ste 1
Quincy, MA 02169
Phone (617) 302-3343

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19377/brand/1/csg/1/fhir/r4

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, 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": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1871879957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 CYPRESS ST",
            "address_2": "4F",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033626",
            "telephone_number": "603-321-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 CYPRESS ST",
            "address_2": "4F",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033626",
            "telephone_number": "603-321-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "MAUREEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.